40340 (2) 768'5 Normandy Way
CITY OF SAN JOSE -BUILDING DEPARTMENT
APPLICATION FOR BUILDING ERMIT
Tract NA ?_'1
1 _____ Lot No. )_'44...... AA)-e1�01POk771P
Date..///Z/...................................... 19.4 Permit No....3.4 .... Ito-------
Application is hereby made for a permit to -------------------- ---------
a_11/4'.:Itm---story, Type_-Iz, W. 'A ............................. Building
Use Zone
--- -- -
at _71�?,��- ------- - ------- -------- ---- --- - 0 -
ccupancy, ------I----------
only as t?�------ ------------ --- - - -
to be occupied o Parkingospace ------- ----------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements,
"I0121P........ ............
It is hereby agreed that the requirements of the San Jose B I uilding and Zoning Ordinances and all other
laws applicable to the construction, location, and use of build I ings 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 workman's compensation laws of C103 `Greenwood Lane
JOHNSON HOMES .INC. ICalifornia;...........__...
Owner ------------- -------------------------- -- ---------.............Address ..... Los Ga
Contraor
ByAgentct--- --- --------Address ........1615.13reenwood-j-m- --------- ----
Form 280.1 7685 N mangy Way Johnson HWatOS' California
RECORD OF INSPECTION
Foundation ...1.2_-.4'(..Z.Z w-t3---- Fre .....,.. ...- .�. .. --- .- - �-
Stucco --- ------------------ ---
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