39411 C 4OF SAN JOSPI'""rry PL. BUILDING DEPARTMENT
APPLICATION
q FOR BUILDING PERMIT
Tract No. .-..1--�..9. Lot No. 7 �.
Date......- - - ---..... .._...., 19-----.C. Z-------
Permit No..'.�..--L..-y.-(1-----------
Applca+ion is ereby made fora permit to .p ......G.... .. �a -��7�C-s---...CS"'`�-
TO a......I.......Lstory, T - _.......-0....------. Building
_--�a-rl
If
at ._....7.G.._ .-1...._... --...-__ dv� Use Zone ---.._..............
.. Occupancy ---
.-�_-...----
--
to be occupied only as ------ --------------- -------- Parking Space .....z.—.........
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, ................_. _ C
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 Son 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 manner so �as 7too violaf the wor men's compensation laws of California.
Owner ���'C� .... ...........Address ��3�F �d�✓��d¢riJ ��cc�
..._.............------------... .....-
n .S�"--... .fir`..........._...._....
Contractor /J /, ��t--__ ......Address, -------------.!
Form 280-1 79.91, U—, W-'—U-111 T —.
RECORD OF INSPECTION
Foundation ... --------------- ........ ..... ... ............. Frame ------------------ -----------------------------------------------
Stucco ..... ..... .... ...... ...... ------------------------ Finish .................... ---------------------.. .... ---------------