LOT 18 CITY OF SAN JOSE863 fetlin
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FLOOR BUILDING PERMIT
Date-- - 4!. . � 195 --- % I3 Permit No.........................................
- ---- / /
Application is hereby madg for a permit to........../�-v�h...�..�...............................................
at ---'--......10.12.-'S- -
! i"r /.:./._c..._1..1..5 "Yv.--= iuyS� v- ..................
+o be occupied only as-. ....... 4 ....... _
in accordance with Plans, Specifications and Plo+-plan filed herewith.
Estimated ValueofImprovements, $...� �.- .U-�-----
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.
Owner .... IWST-rAAHQR.AUME.RS.jN0-------------------- Addressl0!.017
Contractor, Agent
Form MI
P .3c y6�
RECORD OF INSPECTION