40506 1:11T OF SAN JOSEBS'IittO.Dr . , BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT . .
Tract Nor ? �- Lot No.
Date.... rmit No. . �V.P-----
p
Application is hereby pad for a permit towl....:..._..............................................
a------t/-----.story, Ty .... ... . ... ... .. Building
at ---1..1.1.�.`..e�—- �.. � � (51k Zonerl..:�� �`....
Occupancy ..... ............
to be occupied only as ..`._.......... !. Perking Space ------ -------------
in accordance with Plans, Specifications and Plot-plan filgd herewith.
Estimated Value of Improvements, $.//.0 6 �
It is hereby agreed that the requirements of the Sen Joie Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of Son 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 in /nyner s es +o violate the workmen's compensation laws of California.
�� �f
Orne (........ .Addrez ? '3 /."..".. « --. ------
/............
- - -- .............. sl
c°atr.a Addres
ByA, n
Form 280-1
RECORD OF INSPECTION-
4,
...-.... 3
......
Foundation ------1--1�7-4 ��F,, 9'
Stucco --------- --------------------------------- ------------------ Finish ......--C%.----/