43212 i61A CHhbk�'y
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDINGVERMIT
.1 q..4.Z. ................
Tract Nci.=�5 .... .. . Lot No.
Date/,�l...............................1 19.6..-.? Permit No.-4.3-2-12----- ---
Application is hereby ad for a permit ...... ........
- --------------------------------- ...........;
a-------/.---story, T p ----------- ------!1191 - ---- -------------- Building
/ Yf one 1 17
.......Y_ _ ............. ....... Oc .... ...*......
at 142 .... P.,,.!cujpa,cy ..........
to be occupied only as - --- -------------------------- Parking Space ......2.L..........
in accordance With Plans pecificat n -plan filed herewith.
Estimated Value Of Impr vements - - -- - ------/...............•
It is hereby agreed that the require nits of the 6 Jose Building and Zoning Ordinances and all other
laws applicable to the constru ion ati,r, and u of buildings within the City of San Jose, will be
complied with.
I certify that in The performance of the workfor hick'this permit is issued I shajil-pot employ any per-
son in any manrlor so a�.to violate the workmen's c mpensation laws of California.
Y
.Address/ ----
----- - --
Owner C Address - ----- -A
F. to -----------------------------------
- --------------- ,, ......
ByAg
Form 280-1
RECORD OF INSPECTION
Foundation ... Frame ..- fy—lG .. r�v-fit
Stucco ----------------- ---------