42157 W9OFSAN Ab BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.'—?6�� Lot No./c
Z j --------------- -
Dafe--,�--7j--------------------- ----------- I -------- Permit No. y 2-14-�s`-
Application is hereby made for a permit to . ..................................... ...- -----
:�a------/---;...story, Typ-07;��'�-1.x...`5........ 4prj-
------- .... ...* -------- -- -------- Building
_
at '0n R-1-4-4-----
----- ---- Occupancy ._....T..._......
4a Vr -n
to be occupied only as - - ------------ --------- kin Space -----:;Tr- --------
in accordance with Plans, Specifications
t'plAji%e
Estimated Value of Improvements,
If is hereby agreed that the requirements of the Son 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 perfcrmance of the work for which this permit is issued I shall not employ any per
son in any m oar so as to folate f workmen's compensation laws of C lif
,a
addressX;e�'O ---- --- ...... ......1..
Contractor
_ ___r< — - - -/-
-----------
----------
.16-a-------------------Acldress�.Z - -------- ----....... .......
For. 280-1102 BU b Rd�. R. J. 14�ntas Fj A_—n^
RECORD OF INSPECTION-
-.. .^.6.3.; ,...-
NSPECTION-
Found }ion
.......... . F,.me -------- ---------------_-------------- -------
Stucco ------------------------ ----------------- --- Ar,n'is