43293-F1150 Candlelight
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
15 Tract No - --- --------- ----! - Lof No. --------------
/ Dat %_*--- --------- 196-9. 'I QQ Permit No.
Application is hereby made for a permit to ...... --------------------------------- ( ---------------
a ----- - —_-.story, Typ _0�r ............ ........ ................. .... Building
at ------ iVP (L_[ .... ..
1�/� L— Use Zone ...
to be occupied only as ...... Occupancy . ---) . ....... ..
__ba �— — Parking Space -------- - -----------
in accordance with ecifi ;d�Cp)Vjfilecl herewith. LL11" if"
/))PI &F 41
/Estimated Value of Improvements, $ .
- z -
----- ----------- ...............
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 San Jose, will be
complied with.
I certify that in the performance of the work for which this permit is issueds hall not employ any per�
son in any manner so as to violate, the workman's compensation laws of California.
Owner— ---------------------------- -------------------- Address
7;
contractor 7— le_5 7
ByAg.nt ----- ---- CNW� -------- (fw� .... Address uf�L50. ---------------- —
___ _r ... * -------- * -------- I ----- ------ .....
Form 280-1- 1150 Candlelight
RECORD OF INSPECTION
Foundation . .. ...... :1 -------
---------- . Frame --------------------------------------- .......... ...... .
Stucco. --------- - ---- ------ ------------ - --- -------- ------ .-- Finish