45029-FLL85 Elmsford
CITY OF SArJOSE BUILDING DEPARTMENT
r7' APPLICATION FOR BUILDING PERMIT
Tract No .............. f ......Lyfi No.. --------...---------
1 // gg q—
19._`y_C ermit No_......_.._.. -1. -F ....
is hereby made f9r a permit to
��,�i��� ..V i tee/ // Use Zone
�/��/ / ceupaney------.2.-------
to be occupied only as .-- ...f !..( .. ' " / v Parking Space ........................
in accordance with Plans, Specificatio" ns d Plot -plan filed herewith.
Estimated Value of Improvements, $....... -®-v-----I--------
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 s to �violett he workmon' c mpensation laws of California.}9-
Owner.....- ` = r L r!`— -- ---. Address.�l�S_--�?�-/::?e..-------
Confracto� y/ G' E By Agent.. --..1 �` IrC(Yt.- ��... Address -'� 3.:�. .. Cl:....... -....... ..
1185 Elmsford G. Smith
i
p RECORD OF INSPECTION
Foundation ... F-'�Zr ..... Frame ............. '...............................-- ....
-....._...- ..... .....
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� S-G� wey�cn��� - L' - r AAO 77,621 TO Cog- /2 P
NO'NoME 9-�ao,G� Q,r.6,�G
• X18
Form 280-1-10M-12.63