NO PERMIT NUMBER Brent
CITY OF SAN JOSE , . I . BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date
r .3 Permit No.........................................
.....
Application is hereby made for a permit to........ ............................................
--------/---------story, Type----- ...............................Building
.. .......................... --------------------
..........---7.2...e........ z. ........
--------------------- ------ --- ---------
d4-
-/6 W45��......—--- ..............
to be occupied only as--------f ----A--0 ----RAW
in accordance with Plans, Specifica ions and Plof-plan filed herewith.
Estimated Value of Improvements, $...
-d--------------------
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.
WTA MANOR BUILDERS It&
Owner— .............................I.................AcldressA�f—
By---..... ...........Address-----S....14/t/..A /Vo
........................
Contractor, Agent
Form 280.1 1
rp RECORD OF INSPECTION .
Foundation - ........ . ......JPM-.......
...Frame v//i ....... ; n�
Stucco................................. -----•'/ //- -- •�---- i,- •o----�--/-/ -------