44404 Mo Belknap
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT D a
Tract No.....3161.......Lot No.............2..........'
5/1$/.. ...--------------'
I9.. ... Permit No......Date.............................
Application is; her m d o it to Cons C
.. ..... . ...............................................
,story TSF ?Ei-f.OfO6 .............. Building
a..........1_2 --------- . .... ... ............ ............. ....... -------------........
at .................... Use Zonej?
0 ccuEpancy...
1 ....r-----------
I to be occupied only a --;Ingle----fni 1 —ing Space---....,rem ........
P 'i�lcatlo no Ploy-pren�, , iffir
in accordance w #6 �51
;�_11 ,
Estimated Value of improvements,$.....16,.0001...................
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 person in
any manner so as to violate the workmen's compensation laws of California.
The Brookfield Corporation 3150-20th Avenue
Owner..........._ ...............Address..
tractSanFran"ci's'co*j----
Agent.......i
By lliam A,.t Plant ---Address.T.9.Q.t....ag:?�_13,1................ ..........
.. .198484 San Bruno, Calif.
RECORD OF INSPECTION
Foundation.. -1.-G�L- P�C!2 !?�) ......- .....
Stucco -- -- ............ �r� ........ ...Finish.2.-.�.)—G((// -� V ........
a
Form 280-1—IOM-12-63