43790 CI��Q& SSC�kj0& BUILDING DEPARTMENT
-APPLICATION FOR BUILDING PERMIT
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3/ f0 _3.2$16.. Lot No. :...:i..._. ---
1 ✓ .
Date.................................. --'-=---------, 19..''--:.. ' - .-Permit No ,,�.-�f..- O----.....
Application is h r66 a r p it f ----pong ct
a....1.........story„--__._ . -.. ...---.... ...... ----...__..-- -- ...-----....--- Building
-
at ..7.903...&elknap.....Pe
rive-----------------_
Use Zone 46'C. .. ..
Ingle fa ly re ' d n Occupancy .....-r---------
to be occupied only as . .. .. __.... Pa 'ng Space ....._ ......
in accordance wi+h Pacifica ' n!d Wr -p an filed' rewith: -
Estimated Value of Improvements,.$---- ---------------• rT �s /_� (�
It is hereby agreed that the requirements of the San Jose Building and Zoninc} O Bina Fces en e11 o er
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 l shall not employ any per-
son in any manner so as to violate the workmen's compensation laws of California.
Owner .B .Qokfield---Co - --. ---Address -3150=20Lh...Ave..,....S.Y...
contractor E }o�ne so C W cti on
_
B Ag.at.... �
............Address P 4....B.OX..131.,.. San.Biuno
Form 280-1 llliam A. Plant
RECORD OF INSPECTION
Foundation .3.c.3��i�L�P fGkv 1 FrameStucco -----------------------------------------. ................ Finish 42..�. ........... .._' / �._....