38786 (4) 7653 Peach Blossom Drive
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION. FOR BUILDING PERMIT
Date---------------- ........2--.b...... Permit No.3571-------6.......
Application is hereby made for'a permit to ............CONSTRUff..--------------------------------
7
a-----I----------story,,,
------ ----------story, Type----------4-64—- ------------------------------------ Building
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at 111�4u----- -A.?�------/........ ---------- 4-------�Z-- �df000!;
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007--n4�OWRFNGARZ611 TRACT 20V
to be occupied only as SINGLE.-FAMILY-{RESIDENCE
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements. $.12�11
---------------
It is hereby agreed that the requirements-of0he San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and' use of 6u;ld;ngs 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,yiolafe the work* 's compensation laws of California.
cibm it.. ijht*n' 1 1300 EI Caming-Re-al-------------
Owner ---------- ---- ----- .... ............Address - - - �--------------------------
-------------- Merdo, Park, California
By V-1--- urgetm-000—I.—Address ...]DAvempolft-1.7070----------------
Form 280-1 . —1—
L RECORD OF INSPECTION
Foundation . 5".L----4. fA���.. Fra
Stucco9
- Finish
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