43892CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
O. 2—1
T
Tract No.. ......— Let No. ./ ..............
Date - Y. ) 4 19 4� V Permit No..431t�Z ----- V
- -- ------------------------------------ .....
Applicafion is herelay-made for a permit 80��e ....................................................
a.... ---.story, Typz� ---- -- ---------- ---------------Buil ding
U Zone
at -- - - - ----- --40!�"VWI��ccupancy ....... .........
.96
to be occupied only as-2 . ............
------------------------------- Parking Space
in accordance with Plans, Specifications and Plo!� Ian filed herewith.
0(1
Estimated Value of Improvements, $...._y.._--------------1.. PC
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 per
son in any mannIr so f olate the workmen's compensation laws of California.
rV1'a'"0;eaV'1 )�- &�4"f i:
Own Bypy.a�1 ........ ---------------------------- Address/P. --------
Contrac
Address --- .......... ..........
�r�:.�L%�-----....------.....
Form 280-1
RECORD OF INSPECTION
Foundation ...
---------------- ---------- Frame
-------------
Stucco _........------.......----.__.-----------------.Y Finish -Po!Ar