45472 1194 Crestline
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT.
Tract No-----------------------Lot No............... -----------
Date.--...................C...ct----/�.... 19--K1-- Permit No.-J/5Z.Z................
Application is hereby ma for a permit to .. .........................
.1 a-----1-----....story, Type..r. . ..... ..... ---W. ....F�t------.------- Building
at Use Zone----ff�.1........
only as ./ M.4-,
to be occupied on [A
)
10
'��n of-plan fied herewith.
in accordance with Plans, Specificafi6n�s' lee d4h herewith.
'0 '
in Estimated Value of Improvements,$.761.47x. .....................
It is hereby agreed that the requirements of the San Jose 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 shall not employ any person in
any manner so as to violate the workmen's compensation laws of California.
_1 -9--f ...........
Contractor
By ....... , 4 .Al---Address-e.?ZJ:6...X-0..AA-S.c--Q-M...........
1194 Crestline Alcario DeHerrera
RECORD OF INSPECTION
Foundation........................................................--Frame..........---.......- w------------- ..... .....
Stucco.....----------................... -------------...........Finish//- L7
----------- -------
Form 280-1-10M-12-63