39970 (2)' 853-55 I�i11Lr
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
2562 71 - Plan No. B-3
Tract No. ....-.----.. Lot No. ----------------
Date....... October..1 ......... ...... 1962...- Permit No. -.7. ----------
Application
...Application is hereby made for a permit to build................_ .................................._.----
a---.one----story, Type.5,Re5idenCe;-with�attiched.-garage.._--..._.__.-------- Building
at tgs.3'.S, .M:��et-F.2..--- v, .-- - use Zone .9 z-.-_---.---
Occupancy. --JT..-....---.----
to a ccupt d onni as -�amil_�y reside in a e ......................
in a cor an ifh'PISns, `Jp�cificd'fions anU"Plo+-pan filewifh.
Esfima4ed Val a of Improvements, $-1.9.,.00Q------------------- -
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 Son 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.
6403 Bollinger. Road
Own Peraid-OakleyOrrga—nizzaation..AddresiSan_Jose,--California.--._--.......
Address wl3w15--,�4.�11i1 .eC-----------------
Form 280-1
RECORD OF INSPECTION
i. Foundation:,..- - -- -- - - ------------
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Stucc
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