45920-F 1670 J&mestocdn N q
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.--3.7-01-Lot No.---_�-' .............
...........
Date ..... �..'.�_�- 19-�5 Per i+ No..............................r� 1
Application is hereby made for a permit to .......r1�-------............------------------------------
a------------/------s+orY, TYPe---. .......- --- --- '- --- ......_-....--------....... W ing—
at ......+--e.70_------..�F7..!'„t}.C�_f-foW✓J .v✓. Use Zone---.........--------
P✓.!.,- �4y�2ingSpace.----.................
to be occupied only as .....- ----.- ...[.. Parking Space........................
in accordance with Plans, Specifications a,ntd,flot-plan filed herewith.
Estimated Value of Improvements, $...�1/..........................
..
It is horeby 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 theperformance 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.
OwneE...r..------- Q/1!a_X--- - .........Address--
Contracto
f
By Agent.... -- - --Addrers.................. - - -- ........_ .-......
1670 Jane stows
RECORD OF INSPECTION
Foundaf!on....................................------------------------Frame.......................
.... - -
Stucco------------------------------------'- '---."'- — Finis _ ----------------------------------------
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Form 280-1—IOM-12-63