43984 James Town Drive �n �
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT '
Tract No...?i ZL� -----Lot No.... �.>� L C17/J •�gTry�'u Zf'
Date-----------------------....-----4 -.f. .., 19�� Per it No. ...��
/�--/---/�
Application is hereb made fora rm't to ...� .. .._-
a---------------story, Type----- .... .-----...1 --------.........--............ Building
s
a# - - . . r`.fc�. .c --.- il..f f7rn/' /^ Use Zone......
ccu anc
P Y........-L .....
to be occupied only as ----..-...'.::-- ... W iParking Space------------------------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $--- 1_JJ 52.D..`�............
It is hereby agreed that the requirements ofitt,e 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 aws of California.
Owner .:::Z ---;%?4 V,--.. 8ress....L9..f
Contract** /
By Agent ... G(d - -iI .Address.inq�1
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{ �Zb 0- aoj- 'Rt&&70 SChUd.te Camp
RECORD OF INSPECTION
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Fo,.280-1—IOM-12-63