55395 (2) IM Saratoga=Sunnyvale Rd.
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date , 19 ` 7 Permit No. 7'5 3 9 S
Application is here6b made ora oermit o —r.-s o r s
sfor , T e � i r Use Zone C —/
y S��,Q•�.-•--
�. a�7—Wiz• �.,-.� r /c •e.� Occupancy
to be occupied only as mr < �' J? ace
in accordance with Plans, Specifications and Plot-plan filed herewit� a rinkler
Estimated Value of Improvements, $ /C-F? \
I certify that in the performance of the work for which'Ais permit is issued I shall not employ any person
in any manner so as to violate the workmen's compensation laws of California.
OwnerAddress AVID 2
'Address g_
RECORD OF INSPECTION
Foundation Frame
Stucco Finish
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