43892 CITY 46SOA BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
'Trac f 0-60-7 --- Lot No. /7
. ...... ---------------
3 v
............. 19-6/--, F70
Date ------------------ rmit No..4✓- ---------
/Op-p-Iri-cation is h:ere'bb ado for a permit --- --
-- -- ------_------------ --- ------------
........ --------------------- Building
•
Use Zone ---
..........................-'j�
- �. (!�-7 ppancy ------'r--------
to be occupied only as tnquSpace 92------------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, t49Z�PT.....-7?--P 0 0
It is hereby agreed that the requirements of the Son Jose Building and Zoning Ordinances and all other
laws applicable,to the construction, lo-cation, and use of buildings within the City of Son Jose, will be
c,ornpl;ed'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 Vman�nso es violate the workmen's compensation laws of any ny rn� *Address1///-15:'6i�--- ---California.---11
0 er
, 4r -------- -- ----- -
'to
C c
.... ...-- ------- ------------ -
R. ..............Address --------
Form 280.1
RECORD OF INSPECTION
Foundation -f-%k.i---G..at--.Zt_�fGr..�r..-.- Frame
P
Stucco -'- ---:.-------....----......................Y- Finish �� ��._ .
5