40318 AWOF SAN JOSkSaratoga Sunnyvale BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT d&P3
Z ��� Tract No. ---------0---- Lot No. ----------------- .
Date.... I Z .................. I 19..6_Z_ Permit No. . ..Q31 -----
Application is hereby made/fort permit to ..
a�./.story, Type-- .. ..../Q7! .4--...................---.........------... .. .................. Building
Use Zone ...�r--...
LL Occupancy .. ............__..
to be occupied onlyas ....! ?.L......!K_.Jn. �UrrrWr as kkiin� e _.._------.._._...
in accordance with Plans, Specifications anQrPI n elf �e .�ItK. 6p
Estimated Value of Improvements, $--- cV...t (o¢oo0 F/UU n
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 1 shall not employ any per-
son in any manner so as to violate the workmen's compensation laws of California.
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Owner tTGSZ.. K
...Address �C{ `7--�"g°"`...!?.. - V`.a�
Contractor T
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Form 2e0-1 1655 Saratoga-Sunnyvale fir Car�azstn.
RECORD OF INSPECTION
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