40212 CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. ............F... Lot No.
Date. .................i�--_------------- 19 Pecen
Application is hereb ade or a pe"r'mif t6z� '_ '
. ...............................---------------------------------
a---------/---story, Type---'--- ------ ....... . - -- - --- ---------------_----- Building
at ...//- ------------_-_--11 ................ ? x Use Zone '-*_1_-_13-4
Occupancy ... ... -------------
to be occupied only as ./--—-------- - ----- --- Parking Space -----t..........
in
----------
in accordance with Plans, Specifi a nd Plot.p f* a i
Estimated Value of Improvem ts. /---------
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 perfcrmance of the work for which this permit is issued I shall not employ any per-
son in any manned
0 a to viola/' the workmen's compensation laws of Califa i
Addres/ j................
ci-
nhacto
------------Address ------- ............ -------------------_
BC;A
For. 280.1
1- - --- ---
RECORD- OF INSPECTION
Foundation 1 - -2-6---- - - ..L`"! am
Stucco ........... . ----------------------- - -------- ............. Finish -------
------------- -- ---------------------.................