44512-FA61 Heatho-rwood
CITY OF SAN JOSE
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
�j Tract No. f/... ------%t No. ..............
Date ............... ....................119.�L!. rmitNo. �
Application is hereby made for a permit to Ad ------------------------------------------------------
a---s+orv....e.....a....,.... ........... ,.rl......................... —. Building
to be occupied only as
in accordance with Plans,
Estimated Value of Improi
Use
Parking
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--`(=-. ..... 5.�1.?.ro.. .............. .. ........ Address...-, ! ... i k.A. nj av ................
Contractor_ // .............................
By Agen+.......s ll.P..44"i ..----- Y.. _ _ AddressS:1.. -�= .:f:: -
7481 Heatherwood A. B. Sanford
RECORD OF INSPECTION
F.,. 280 -I -10M-12-63