33901 (2) 14 ' Tract
Tract 2692
1�- 11 11 BUILDING DEPARTMENT
. I APPLICATION FOR BUILDING PERMIT
11ormandy Hills T am-F An Charmaine 4 R
Date----bly..26-------------_---------------- 19....Q_Q_ Permit No...3-3-T-01---------------
Application is hereby made for a permit to .----_Build
---------------------a.------ ........ 7
story, Type--------------64ev....�04?..172x_ -----------------_-- Building
at ...1492 _Primrqse.Way_,
. . .. ....................I----- ----- .................
l
to be occupied only as 1
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $....14x000.00
------------
ft is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be
complied with. I
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 California.
Johnson Construction Inc. 11806 Cordilleras Ave.
Same-----------
ame
Owner .... Address ---Sannyval-s.... Rife-------------------
-----------
BY
. ..... --- - ------ --------- Address- -------------------.....................
Contract
Form280-I
on ra , Agent
RECORD OF INSPECTION
Foundation rame ----
---------------------------- ------------------------
Stucco ._-------,------- ---..-....-" ---. Finish
---