43892 CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.l----------------.... Lot No. _. -.............
. ? p
Date... /('.. it No. J.8/....Z:
Application is hereby Mia ee for a permit + --------------------------------------------------------
y � -.._..............._---..._--.._-..-_--.---.._-..-
a---............. story, T p ------=-i/i ... . -. :!...�1.vr/----------- -- - - -- Building
a+ ..(J-.. . .--..-.�g,-v!'`. ..... .... /�����C/ Use Zona --IS_�=6
Occupancy ...... T_
be occupied only ------ Parking Space ....---u2..-
in accordance with Plans, Specifications and Plot-plan filed herewith.
00
Estimated Value of Improvements, $. .. �z_UUO
k is hereby agreed that the requirements of he 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 mann r so a fo violate than wwo�rk�epn's compensation law of California. 9
--fLo� . ... ............_--------------.Address - .-- ..-,:j!- _---...--
Con rac
Bynv. �✓ --------Address -.... �
Form 280-1 //`/
RECORD OF INSPECTION
Foundation Frame
Stucco --------------- ............... .. ..........................(#'."'Finish