43716881 Brent:
CITY OF SAN JOSE " - BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. -----------------.-.Lot No.----------------- ......... 3-7
Date7,�. .. at� ....... 1.L) .......... Permit No ..... ...............
Application is herebyirrade for
a .......... J ..... story, Type . .. .... .. ... ... ....... Building
il.c
at ----.e..F.L.a ......... . ....... .......... Use Zone- .............
gWancy--- L— ---------
c
to be occupied only as "'...... c.,:::: .....
in accordance with Plans, S"P' cific n lot- mile 41M
Estimated Value of Improvements, $ ...... ... Qr
3) .................... --2
It is hereby agreed that the requirements of 4 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 wo&nen's compensation laws of California.
Contractor
By Agent...---.`.
883 Brent Melva Dugan
RECORD OF INSPECTION ".
Foundation ... .=�G-G�/ tial !,.......Frame----------------------------
-----------------------------------
Form 780.1-10M-12.63