48407 1148 Derbyshire
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.......................Lot No.-----��k.......
C ;7
Date... Permit No..............!�
......Z.........K.��...................�, 19--- ........................
�F-7 X 7_1, r R4,_1
Application is hereby me to Avpupl. j,
je for ajer��, _.. .... ..........................-_---_------
.... Building
a........1.--"---story, T ..... ................................
Use Zone-........-q__1.........
at AIRS- Q. .. .....
....... ......... Occupancy.-- I..--....
to'be occupied onlyas ......... 6f5a gSpace----..-'L.-.------
in
pace----- ......
i
ii
in accordance withPlans, a i f. � -W�Un
�pe 7ici %,11 Ade
Estimated Value of Improvements,$--------L:j�n-------_.......
" is hereby agreed chat the requirements of the Ian lose Building and Zoning Ordinances and all other laws
applicable to the construction, location, and use of buildings within the City of San Jose, will be complied with,rs
I certify that in the performance of the work for which this permit is issued I shall not employ any peon in
any manner so as to violate the workman's com t' laws of Califo r nia.
Owner....Y., .. ............. . .. .. ............
Contractor
ByAgent...... . -- ----------- ---G---(- (-- -- ------Addrest........................------------------------------------ ---
1148 Derby�ahire Russell Beets
RECORD OF INSPECTION
Foundation
...rTame.:�.
Stucco................------------------------------------------------Finis d�
FORM 280-1 -10M-2/6$