40506 CIWOF SAN JOSEYest-�� y�r BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. ............�---- Lot No.:-5 tl----------
r� ,1
Date--------------------_- . .. .L..:.G.�19.�z.Z rmi+ No. � .U..�. ................
Application is hereb ad for per i+ t f..... . ...
a----------J----story, T _. -... ...... . .. ... ... ..... ..1 (/......-----........... .... p Building
at ./1.T � <x Use Zone .!1..'.� .�.�
_.._ L-.....- ....._ ._.... ......... . ......
Occupancy .-------------
to be occupied only as l.. .... a.... . --- rking Space -----�------------
in accordance with Plans, Specifications and Plof-plan file with.
Estimated Value of Improvements, $.1.. n._....f` .
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and ell 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-
son in any nne so es i� violet e workmen's com pensa bon laws of Cel,form
Address� .1�....
E
ot`r .-- ------- --------------C--- - -'------ --
caafr.<ty -
BynareS/.�:• -... �....... .....Address -- ... — ......... ....
Form 2BO-1
RECORD OF INSPECTION
Foundation - --- ------------------.---1:x-::.1 ------- Fra
--- ........ -------------------- -- ---
Stucco -----I-----------------------------------------.. ........... Finish