42217 cPTY�OF SAN JOS BUILDING ltd. BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. Z'fl... Lot No. ------ �7
- - -
Date__:_........................a �..J.- J.-?
..-, 19X .. n Permit N .(2- ---- -------
Application is hereby made for a permit to ..&V (ex. .................. ...
.../ _ ---..---...
a..... _
.- .......story, T e.,-L - e J.--. ........... if ��.�.�QA¢E------------- Building
at 1...�.1`!..... -jq-d• Use Zone
Occupancy .----1-----------
to be occupied only as .. .......... 4'�.. . . .� Perking Space ..-...2-.-.------
in accordance with Plans, $pecificat' f —d I - 15ri'rt,6 ith.
Estimated Value of Improvements, $..-.. __
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.
I certify that in the performance of the work for which this permit is issued I shell not employ any per.
son in any manner so as to violate the workmen's compensation laws of California.
Owner d//O..A�� -4.Ary.'./.'( llANn r-.. O-.-Address .1?1.1f.-e...`e�.;-r 4P ....OT1...
Contractor -e
ByAa.et.. . ._....- -- ------------------------AddPass ............ ...
Form 280-1 1214 Bu>�Rd. Stoneson-Const. C _
RECORD OF INSPECTION
FoundFoundation
ation ............................................. .......,. F�e _.......- - �. ...............
Stucco ...................................._...... ...... :Finish.......... — ........J...'�.