478537850 Fe tival
CITY OF SAN JOSE BUILDING DE-4--MENT
APPLICATION FOR BUILDING PERMIT
Tract No..... -------------....Lot No ...................... _
Date-'- r.._ -Z-7............, .. ' Permit No. .....
Applica =is hereby me a for a perM'.It to . ..................... I .........
a......... I ...... story., Type----. .. .... .. . .. ... ......................................... Building
at .....7-.5.......-'---.-.-.... ,9- 0 Use Zone ....... ........
..........
';��L-OccuEpana
arking a a ........ _Z . . .......
.......
to be occupied . ..........
in accordance with Pla�4 Specifications and Plot -plan filed herewith.
Estimated Value of Improvements, $--- ... __,; .. q:t ............
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.14�_5�3 7"'7"
..... 5 ( a
.......... 3 ....... 19 ----------------
ByAgent ....... 4a . ..... 4-&-AAz--- Aclore" --------------------------------------
785estival Werner H. Mattick
RECORD OF INSPECTION
Foundaf ion �
............................................................. Frame ..... ,......................
--------�--'—�
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Stucco.......................... -.................... ............ ...... --------------
FORM 280-1 - IOM
__
p.o°mo-/'w°-2/o,