40506 CITY-OF SAN Aft BUILDING DEPARTMENT
APPLICATION FOA BUILDING PERMIT
Tract No,S.O---X1- 'r Lot No 7.. .........
Date---------------------1.1--7-3)........ 11--------- Permit No._#IT-O.1-------ii
Application is hereby m ..............................................
.Ado or a permit
a---------story, -yr ------------------------------ Building
Use Zone ----------------------
Occupancy ----- ................
at ------
to be occupied only as/=,�. ,A ----- Parkin S ac -- -----------
------
in accordance with Plans, Specificatith Plot-pie
Estimated Value of Improvements, .
It is hereby agreed that the requirements of the a n Jose,_ /uil n 9and 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 perfcrmance of the work for which this permit is issued I shall not a loy any per-
son in any m as 7to olate the compensation laws of California.
/AedYress
r
Ow r 42 - -------
contractor
_V
BYA� ...........
..........Address .... .. t----------------------- ---------------------
Form 280-1
RECORD OF INSPECTION
Foundation --------
--------- -------
Stucco ----------- ------ --- ------------- .........
Finish ------------ .. ... .............................................