27186 20655 A & B Cleo
CITY OF SAN -JOSE BUILDING DEPARTMENT .
APPLICATION FOR BUILDING ,PERMIT
Data-t--e--_---.-.-.-._...-.--.-.-.-.-.-z- 1oA-_- -
----f tj......... 195-Z.--
95-7--- Permit
-.- No..---2
o.............2.......77.....1....:14----
Application .....
is hereby
a foraermito.....w� kk
a------------ story, Typ -- --- - -Building
----- - -- .
------(
..........
to be occupied only as----------
in accordance with Plaris, Specificafi46 '0't'-'P:RoddVe4rei h�
Estimated Value of Improvements, $...[E.-Dro.P.....
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 Sari'Jose, will be complied with.
"41
'ddress.............
-----!:1.---
Ovmer_!� - ------
cam
------------Address------------------------
By------------_-- ....... --------------------------------------- --------------- ----------------------
Contractor, Agent
Form HD-1 20555 A & B Cleo.
RECORD OF INSPECTION
--------------- --------� rame-----
Foundaflon------
--------------------------------
Sfucco----------- ...................Finish"J
70S
+