78828 838 Betlin
CITY OF SAN JOSE BUILDING DEPARTMENT
� APPLICATION FOR GAS PERMIT J
Date .4 ` � .........------ 19..70 Permit No...7�P21c5 ..
The undersigned herebyTakes appllica fiiogthe)Plumbin Jlnspector of the City
of San Jose for a permitLo4Lsta saidrpplia`ces end`%4regas pipes as listed on the
reverse side hereof, and agrees to install said appliances and/or pipes in accordance
with the provisions of Article VIII, Chapter 4, of,the San Jose Municipal Code, and
other laws applicable thereto. �� / ����
I certify that in the performance of the`work 'for which°'this'permit is issued I
shall not employ any person in manner s as to violate the workmen's com-
pensation laws of California.
OWNER.. / .. _. _.._ ... ....... . _.. ...... .. .... �.. ...
ADDRESS__- - r-- -------------- ....__... LOT NO....... ...
USE OF BUILDING...
280-20 (Rev. Ap .. 69) Signed. .. .. . -- - . --- ----
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838 Betlin
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date........ 16....-- 195-F Permit No............................-----------
Application is hereby made for a,permit to------- ................................... ............
..............;.............. Building
4....... ......story, Type--------:. --------
3_,g!.5:7.7— / U A 11 ,4F- - ------------------------------------------------
. ..................-....................... .............
to be occupied only as._---- ------ ........
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of improvements, $.../ -)
/�' 0 L
- - ------0
---------
It 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.
VISTA MANOR BUIXAddress.:!zf: Aivyel ... ..Ownor LDERS. ..... ----------
By---- ........Z-`-`�- .. ............ -------
CA-
Contractor. Agent
Form 2804
RECORD OF INSPECTION
jj
Foundation------- ............Frame...... -----------MIMI..............
Stucco......--..............--------------------------------------
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