43418 1203
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. ..--3.2-81----- Lot No. ----15-------- �� ��
Date
---15-- - ----
Date------12-27------------------------------- Peirmif No..------ ------....-..-......----1
Application is hereby made for 'a permit to --------ConStMC t........................_....------
a
-------------- -- --- ---- -
a.........1....sto I--- e Building
r T
r -- --- --- --- ---- --U-Use--Zor-
-A''A a
at . 1203' BWelkh ' :C6&t1......
Residence Occupancy ---------_L---------
to be occupied on as --------- _-----------------------_- Parking Space ...... 2—
..........
4jrp)��hi d herewith.
in accordance ans, Sp
Est 6 ,00
Estimated i a of Improvements, 60-P-0--------------- -
It is hereby agreed that the requirement, 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 perfcrmance 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.
Owner ies07--G� ruc . on..Address .....?...G._--Box-1319------ -- --- -
r 10 San Bruno
ByAgeContna.tar -Address -------------------------------------- ---------------------
nt .. .............
; --�_ i �---- - ... ....... ........... . .
. e lliam A. Plant, Supt.
Form 280.1
/, RECORD OF INSPECTION
Foundation ._ �5. 4�. .... -f_/..L!LG'+-- Frame
Stucco . --------- ............... ...............
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