48024-F '1184 Elmsford
,
CITY OF SAN JOSE a BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No....4.0.....Lot No........35...........
I9_ _: Permit No...... Q 74--^r
K
Application is hereby made for a permit to ----.5.L.-/0 ..--.....-
a----`- ----story, TYpe.....-rJ fll�/ .................... Building
at ----....L1.�.4.---- .L snra20 pR' �`-- / �/ use Zone..._(...... '-----
P Y 1_R - I.._ iU��/ Parking Space...ncy ---.................'
to be occupied only as ...... .--_��'-. pOL�--- Parkin Space........................
in accordance with Plans, Specifications and Plot-plan filed herewith.
`/Estimated Value of Improvements, $......:?.0.01_0
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.
Owner._: FL ✓!//i1/6.----Address--/./k,_"/
Contractor _ 3� s Ti>/
✓ By Agent .......Address.----•-`-�----•-zvS-
--. 7 —- ...-----
1184 Elmsford Fleming
RECORD OF INSPECTION
Foundation............................ -.....................Frame.-----................
Stucco-------------............-......-------.......... ------FinisC2
------- .. .........
FOR- 200-1 -10'n-2/65