44451 CITY OF SAN JOSE . BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
61 T(ra
ct No. I�7.
- ---------
Date... - ........ .. . - .. . Permit No....... .......
Application is hereby m de for e permit to ----..,,..11.. . L '2. � ..........
......story, Type-.-�v.........0 .'s.........W..1AT-7- .........
. ...... Building
-----I,--.....story,
Use Zone-..R=�...
:-t"
..........6.......
1 4 Occupancy-----...
_.r / ? Pirking Space----...;k
J..2tee.,
to be occupied only as -L-A.k--P--J a --
in accordance with Plans, S if ication5i-Vd f lofip��-, 12101.
Estimated Value of Improm s.
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...... ............Address.............
............ .....
Contracfo
By Agent...... .............. Address _
863 E. Estates C. Arnst ,
RECORD OF INSPECTION---•• f bM
D. 2/(//6 s-
m,
Foundation..................- ----------------------------------Fram�.................. .- --
Stucco - ----- .... mis ---
Form
-Form 2MI—IOM-12-63