39244 OF SAN JOS011in5er S2 999 Miller BUILDING DEPARTMENT
APPLICATION FOR BUILDING PJRMIT
Tract No. No. :_-.--�..-
Date.... - t.✓r�. -----: -.�7- 19-_..lr- Z P rmit No. .
Ap lic #ion is h r b p i or�p p
2'f------ ...................
a------'Vl-------story, T - - -- .. . _ .--. _- .,_ . .- -. ...--1I---. _.....---- I----. Building
3 c� o s Use Zo a 13..----.-.
a+ .... -=3-------91-'2- `
Occupy cy ---- ------.----
to be occupied only as --- . - 9-_ . -_ --_ Parking Space ------ ---------
in accordancei P ns, Spa pl filed herewith.
Estimated Value IF II aiprovemen $._._6e-- --
.... .---_-.....-.
IT is hereby agree that The requirements of Sa� Jose Building and Zoning Ordinances and all other
lows applicable to the construction, «anon, 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 per-
son in any manner so as to violate the workmen's compensation laws of California.
OwnerQrf _ :-Gl t v�---.Address _.,L1.�
contractor /�� Q /},�
Byna.arA/1[.f. S.COY .. '�SJ.l1� ------ ----Address
Form 280-1 6309 Bollinger Rd. & 993 Miller Ave.- Helen_ SH. Dav:
RECORD OF INSPECTION
Foundation -------------- -------- ---- - ------------ From --- -- /,571-C,2--� f(/[./•(�-
Stucco -------------------------...----...------------. Finish --- ��.1.