42217 1226 Bubb M.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT PZArv1
Tract No. J-2.4-Y..... Lot No. ........4.,_0....
Date--------- --------_ -- Q- _.�.......... Permit No. -------------
Application is hereby made for a permit to ---------------------------------------------------
a......../.....story, Type---7---------- ............ q�j 0*A- 0 ,�p .1._..... Buildirig
......................... -- -- -- -- ......
Use Zone
at /�2 Occupancy ........L..... -
to
..Z.7-----------
to be occupied only as j
_. n----- Space ........Z...........
in accordance with Plans, Specificati'onPa��plof-/Pa�&leo:ph 4Z
Estimated Value of Improvements, ---OAQ...................
If 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 Son 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 manner so as to violate the workmen's compensation laws of California.
Owner
&alKrl� e..�Aciclross ...... 2ozdA�t
---------- - -- -------- ---------
contractor
ByAg.nt._J_-1-- ------ -------- --------------------------------Address ffw"! 6: 11,;7Dp JE
Form 280-1 1228 Bubb Rd. Stonesc.- Const. o.
RECORD OF INSPECTION
Foundation --=-....----------------- --------------
—✓............lFrama-,/0-- .�.X-..C.g....(..�' %......._..
Stucco ------------------------ ----
Finish ......_._1.. .:."1..�.CP: ....L.✓..:Br�L!it.....