38335 CITY OF SAN JOSI?""'Or brLv BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date-----------------.......3- -I------------- 19-6_4%- Permit No... ..............
Application is hereby made for a permit to -----------------------P'�IVSTRUCr...... --------------------
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V RES.
a--------'--..story,
---------------------------- Building
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Type-------------- �r .....
at o1z f�if L0TJ;Jt0,ITUMN GARDEN
to be occupied only as ----------S-ING-LE F jD�� 00, ACT 2813
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $-./..6(_! _0_6........... il�4-,4 /
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.
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 was to violate the workman's compensation laws of California.
Owner ...�q DIE T. UNDSAY M..........Address -----1^(_), --------
Fav, C.aijiornia
-----_.:1" ..-1-7070..........
ddress W!
By ------
do-ntract".r'A�aim D4`Ven`P��
form 280-1 Project Manager
RECORD OF INSPECTION Q
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S+ucco ------- -- ------ -----CZ Finis