42758 MAOF 'SAN JO Selknap Drive BUILDING I D.EPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. .34.28-------- Lot No. ....3....... ......Plan
Date.....March ,27
........ ........................ 19.63.... Permit No. ..................
........ .. -- ------ --------------
Application f )D
,s Coe
J�e__i ce 7th-f-at.t.acP4 garage---------------------- Building
a------.........story,. iy/rc - - ------------
at ...7876 Belknat) Drive Use Zone Aj. --
--- --------------------------Belknap.. Occupancy ------T-----------
to be occupied onl s Cue..
f-a-n 2�p e arking Space ......1............
�&�Specif(c P re,
in accordance v 7),' , ions"M�'nip pot-plat herewith.
I
Estimated Value of Improvements, .................
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 perfcrmance of the work for which this permit is issued I shall not employ any per.
son in any manner so as to viola e the workmen's compensation lows of California.
Owner AMG- D HOME --------Address Pql
-- - --- --- . E--- -
contractor same as above
ByAgenst. ....... ... ........Address -----------:--------------------------- -------------------
: Teta liot
Form 280-1
RECORD OF INSPECTION
Foundation ---------- Frame Al..n/f�G.Jy. 77-i5�
Stucco ---------------------- - - -- --- - - - -------------/Fiinlsh .............