49596 7584 Hollanderry
CITY OF SARI JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT ,j F.
Tract No-----------------------Lot No.........--------------- �J '--'C
Date ... ---�.1........................... 19... .`? nn Permit No._..�._!..._�....Y-'�--
Application is hereby made for a permit to .- Z. -.�...._`�.............................................
a----'-L....--story, Type----- -- - ---- - ' .f --- .-/.3^............................ Building
at ...7...5ECI-------../1..0 ( (. . .tl... .C� Use Zone.....P.-�..
AF��SM—cp ---.------------
to be occupied only as ....�....f�l.�t--..... �� g c ........Z...........
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $..... J-- .O
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. i90 92-0 3-1
Owner.....&}-Tr.---ol�OtL.&.(LS--- Address..........5-✓wr/c.....................................
Contractor
—� � 17 J7r., C r , Gi� �oo—
By Agent---
��1:(...- �� '�'— Address.----•y"---�---^--�-•'----- ----------
7584 Hollanderry Robert K �,t�
�RECORD OF INSPECTION `
Foundation. ..,..s.... IL-Q-..y!G.
Stucco......
FOAM 280-1 -IOM-2/65