42758 7865 Belknap .Drive
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. .__342.8 Lot No. ........ ....-.--Plan f rl -Z O
a , 3
Date.....---M---.....rch.---27.....---...-196--......-----.-, 19--63----... Permit
---...-----------
Application is re y ad r p t f / build
e.....1....----story, a----------- ----r--.:..5�..n......Y 1'�.A... $arage------....---- Building
7865 Belkna riveUse Zone ...8.1.6_6.....
at ..._..........- -......_..H -rive..............
Occupancy ......_5---------
to be occupied only 41a ,
famil reside ce arrkiinng Space ......_L......
.
in accordance withificaty n as filed IegriRrl
Estimated Value of Improvements, $.. Y 77-' ----------------
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 so as to viol a the workmen's compensation laws of California.
A154m D HO Address 21+60 Park _Blyd..,_Pa].o--Alto
Owner ....:
Cenhac}or saine as above
Byna•nt ....... Address _._ ----------------------------------
o e ..J._-Matho .....
Form 280-1
RECORD OF INSPECTION
Foundation ------
-- - --- -------------- Frame
Stucco .._------_------------------------------------------/Finish