38563 CWOF SAN JOSE i,664"__7 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract --- Lot NOZO....7--_
Date_ 0......................... 19_�__ 2-w- 3 T57
7�4--- ........ . Permit No.-------------------------�3....
Application is hereb a for a permit o ---------------- ............... .......a----/------story, Typ .... .... ......... .............. Building
Use Zone ----------------------
at �4rz -------
------------- -------------- ---
pancy ......................
to be occupied onI as -—- -------- -- //*/'0'�,4Vncu Space ------- -------
in accordance with Plans, Specifications and PI*langled herewith.
Estimated Value of Improvements, $-//`- -------
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 per-
.n •
1,r t ' I t fh workmen's compensation laws of California.
son
contra
Wn . ---Addres
.nt's tor /
.. ...............................
Ag
'jj ...Addres
Form 280-1
/ t RECORD OF INSPECTION /� '
Foundat '�Q. -1 � -�f...2d...4-.2r. Fra .(l r.�...T-'.4_L..ld',f�
Q . G1.0 4
Stucco -------------...."-------_.......-----...----'----- Finish .... ..GY/ "ip---/-d ^� L ".
/" r