38462 (2) 8440F SAN JOSE ""h t"Y DEPARTMENT
APFPCATION2 R BUILDING PERMIT
Date_ "------------------------------- l9A'1__2___ Permit No----- ......
Application is hereby made for a permit to ................................... ...........
----- - ...... Building
a-----/---'----story, Type....... WO"M ------------------------
4_��
A��45�,31,w-_7
at _74�----ze_4,�....... ....... -- -----
i'e--- /OW 000004
to be occupied only as -------- 7
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value 'of Improvements, ---- -----
If is hereby agreed the+ the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of building, within the City of San Jose, will be
complied with.
I certify that in the performance of the work for which this permit is issued I shall not employ any per-
son in any manner so as to violate the workmen's compensation laws of California.
JOHNSON HOMES, IM ",6, Greenwood 'an,
Owner -------------------------- ------- Address ---------------Los-Gatos,
-----------------LoS-Gato%-4aljforrjja-------------
16155 Greenwood Lane
ir
--------------- --------- ---GalitoiFiiii-----------
........ Address ------
By ....... .....
Contractor, gent
Form 280.1
RECORD OF INSPECTION
Fou --------- -------- rame ... -----------------------------9 :71
Stucco.-------- ----7 Finish --------
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