42064 (2) �Xewood Way BUILDING DEPARTMENT
W10'F SAN'J.,'*6S2,4"'
APPLICATION FOR BUILDING PERMIT
Tract Lot No.12."�flL . .
Date; ...7
Z17----------------------- 19Z —T fermit No.-'Yq.0-b'.y----------------
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Application is hereby made for A,permit
a-------/---story, Type ---- --------- ---- - Building
at ..... ....... c"a Use Zone lij-_-------------- -----------------
occupancy 41-
to be occupied only as -- ---- ......... -_2__-,...__—
in accordance with Plans, Specifications and Plot-plan file erewith.
Estimated Value of Improvements, .0-4-
It is hereby agreed that the requirements of the Son 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 w;fk.
I certify that in the performance of the work for which this permit is issued I shall not employ any per
son in enyy nner as ..o� Tn folate th workmen's compensation laws f C lif a
0 '
.....
n
Confmdo
Ag -- -- ---- ... .. .. ..............r..........okddres ......
Form 769 1 Sq firewood Way R. J. Hunt-P7- Amon^
RECORD OF INSPECTION
3
FoundationW...........�- Fram/e --- ----- ---------------------------- -----------------
Stucco ....................... ---- -- --------------------------qZF-,nish ....../0 - 2,2- -C 3
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