35171 (2) 7585 Wt6r96H V 7Z- 0 - /
CITY OF SAN JOSE BUILDING DEPARTMENT
Normandy MillfPPMAT'ON FOR BUILDING PERMIT, rhaacrtm2ifl& 4 it
Lot 64
Date.----V-12/61------------------------------ 19..-- — Permif'No. ... ..............
Application is hereby made for a permit to ........... --------------------------------------------
aa---------1—...story,
-------------....story, Type......... --- --------- -------------------------------------- Building
to be occupied only as ---I.X0911Y-----d--w
------- 6
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $....._.14,000..00......--..
If 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
I complied with.
I certify that in the performance of fhe work for which Ili, permit is issued I shall no, employ any par-
son in any manner so as to violate the workman's compensation laws of California.
Owner ---Aapj-jje..Ru-j.14�n - po.M*,je6ddress __j.6,j_s5__Gr.eenwood._La-ne..............
__4 Los Gatos
=r:------------Address -------------------------..same.------------:...------
By IA-4e----
Contra rAgent
Form 280-1
RECORD OF INSPECTION
Foundation ------------------------------------------------------- Frarna..�-
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