43212 COW
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract Nci�'--'7' Lot No��7��-------
Daf �-- 7� ------ --- ................. 19 ye��t No.43Z/-L-------------
Application hereb a or a permit t -------- ---------- - - ...............................
a......../.--.story, Ty ---- - ------ - -------------------------�—** Building
at -FT----- ........... Use Zone .-01--'-------
+o
..01------- --
...JE----------
to be occupied only as/-.,-- r it ce .....1z----------------
in accordance with Plans, Specifications an lot-plan file herewith.
Estimated Value of Improve --- --- ...............
It is hereby agreed that the requi ram ants of the Son Jos 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 hall not employ any per-
0�latyhe workmqn's compensation laws is
son in any m nn r of Califor
.8 Co /C . -- ........................I-----------
9.11 --C.............Address.. .... -------------
Form 280-1
RECORD OF INSPECTION /
Foundation .1- z-�-- <<.-t p-aw..-�.. Frame —'ow
Stucco .......----------- ---------------_....-....--------. Finish .17
::_1;5