43212 41POF SAN JOS BUILDING DEPARTMENT
APPLICATION FOR BUILDI!Nri�RMIT
_1 7 4 ( 4 1�
Tract No.�..../9----- Lof No:-7:�-----------
Dafe./.ez. ---------------------- ----1 19 (0 --
--------- --------
/ I – Permit No.43Z/ L
Ap ficaflon is hereby a fora permit tc,:� --
--- - . .....------------ .. .............
a...----77sfory, Type -------- - -- --- - --------- - .... ...... .. ........-- ---- - ---------------- .... Building
' , 1z — se Zone ........
at I ... ... - -- --------------- Occupancy ......T------------
�to be occupie only a ------- Parking Space ..._t---------------
in
----2---------------
in accorclanc with Plans, Sp cifi * s of-plan filed herewith.
CP
Estimated V lue of Improve +s, . .. ....... ..L.........._..
Ifis hereby a reed that He requirements o A San Jose Building and Zoning Ordinances and all other
laws a p pi icable the nst,.cfion, location, a d use of buildings within the City of San Jose, will be
complied with.
I certify that in the performance of the work which this permit is issued I shall not employ any per-
s n n any oq�e compensation laws of Calif
o �'_0
r -----------
ess t
......Address/--
W,iXe
C
;at
Form 280.1
B A
RECORD OF INSPECTION '
,x.
Foundation .... C�:(.C�y.. f �i... Frame
stucco,--'----------------------- ----...----- Finish -----`'-y'-----'------`