43678 8a7 Bette. T
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.----.................Lot No.---............---- -7P
4-IF
Date�? Permit X059-k,
.................. .............. 19.4 J'(P
Application is he it 0_z .........
a.........I.......story, Tyd 14:2&-il ...... ............................ Building
v Al/I/
at ..... Use Zone------ ................
....... ............ q.... Occupancy........I...............
to be occupied only .......... Parking Space......z-------------
�n as
in accordance with Plan a is . ns an to I n e h with
tc
Estimated Value c v e is $......... ... --------------_--
It is hereby agreed that th 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 workman's compensation laws of California.
Owner......;.n/ Address----- 7...... ------
Contractor
ByAgent-... Address........................---------I--------------------------------
887 Bette Hen"xr A
RECORD OF INSPECTION
......,.....Frame._
........... --"� -
stucco_.................................. ---------
F, c
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Form 280.1—IOM-12-63,