43629 Alit Hybnftioort:
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.. Lot No..........................
Date--.- .......
eirnif No..Y.,!4.....
Application is hereby rn dajora or it 0 -
C
a........1---....story,. Building
-- - - ----- ---- ---------- -----------------------------------------
Use Zone---_.--)f S...........
Occupancy.....
..... -------
to be occupied only as ...4�_1 --- h,��/t/ /(?P ±��
W Parking
Space------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $........Seri,--------
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 ceitify that in the performance of the work for which this permit is issued I shall not employ any person in
any manner so as/o ,olate the workmen's compensation laws of California.
Owner........�AA4,�. A14d 4<,_49,.--Address. .. ..
...........
Contract
Wdress..................................................................
Kg
By Agent..... __&
8115 Hyannisport Wilbur A. Wiedman
RECORD OF INSPECTION
Founda+ion.-------------------------------------- Frame.t►/a/�G a/ ve .v
---................ ---- ....
Stucco-........................----------------- -.....---------Finish..).: 'V-.6 "
Form 280.1—IOM-12-63