38230 7.104 tAehhAA P1,
CITY OF SAN JOSE ZfL_61cCG DEPARTMENT
,P, ICATION F UILDING PERMIT
Date-------;;�/�------------------_----------- 19,:�z... Per/mit No.
Application is hereby made for a permit to
.........sf cry,. p -- - -- --- W ------G-1-- ------------- .............. Building
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... ... ..... ...
to be occupied only as /.........
in accordance with Plans �Pqrfficafions a Plot-o.f-"4n f'ed herewith.
Estimated Value of 4W, . - W
mva ;�4 Buildin and Zoning Ordinances and all other
It is hereby agreed that the requirements of the San Jose .il Fin.4
laws applicable to the construction, location, and use of buildings 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 violate the workmen's compensation laws of California.
JOHNSON CONSTRU 16155 Greenwood Lane
Owner ................................... ----------------Los-Gatos,,California---------------
By - - --- -- ---- ---....-Address -----------------1615!i.GreenwoDd.Laft----------
C&or, Agent Los Gatos, California
Form 260-1
RECORD OF INSPECTION
F --/-ST414v--- Frame ----
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