40506ft8l
CITY OF SAN JOSQfsUA0r BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
-2
Tract No. -.,FLot Ncs.,:5._--5 -------
Date ------------------- ) --- I -...
_ --- ............ ..... pp3mit .......
Application is herebyinade for a permit ti;'�--- I -- ------------
------------- --- ............. -----
a ------/....story, ----------- - . ..... ... . .. ........................... ii... Building
atA/ ----- ----- -------- --------------- Use Zone
ancy - ----- S ------------
f o be occupied only as .. .. . i7p le ------ ------------
�b 6 '0 WV'
in accordance with Plans, Specifications and Plot -plan fi[ed-herewith.
Estimated Value of Improvements,
. ......... I ... .. . ...
It is hereby agreed that the requirements of the Son Jose Building and Zoning Ordinances and .11 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 shall not employ any per-
son an /as I h k an's compensation laws of Calif�rniV
lle/ 6 �kll g� . . _. ..
Ow
....... Address . ........
c ar
B; --- --------
Ag:....... Address -- -- ----- ---- ---- -----
Form 280-1
RECORD OF INSPECTION
Foundation - ------ 19 - (0 .3 puz
-- - --------- ---------- .
Stucco ----------- --------------
----- ----- ----- --------- Finish