43659 930 Milkr
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.......................Lot No..........................
Dafa---3..-4' /p ................................ 19---------- Permit No...'4 3 59................
Application' is hereby made for a permit to !�`P..?4.I.F..(.R-CMM..h6C_Ta.'�.............
a--------1.....--story, Type-z................... ' ' - ------------------------------------------------------------- Building
at ....9.3.� /t9-/LLe A✓E-"-----...------..... Use Zone...kA.------.....
Occupancy....r..............
to be occupied only as -f !`!. 5:............ F-� Parking Space.....4 ...............
in accordance with Plans, Specifics iotis and Plot-plan file he wi+h.
LN,
.S o�
Est' a+ d Value of Improvements $.-..5.....
I n here a ed at u elneMs of- a a ?ae uildin an Zonin OrdinancAntother laws
applicable f th r coni u i I9' on�en u buil within the City o0an Jose, will be complied with.
I aril yet in the performance of the ork for which this permit is issued I shall not employ any person in
any manner so /Ia��s to(,plate the
workmen's compensation laws of California.
Owner`.�l.QA. ..8!�d....--------------------'---.... ddress................ ........----...--....
Contrac,orQ4e.erharT V.sf'/✓O* `o.ss", Q r
By Agent.{y/icr��.���a.S.//ll�l:.. cnr�lnr..�. .....•...Address-- ----' .7. .9A-f.4-- -------
90� MiL7Ler$ John Peed
RECORD OF INSPECTION
Foundationin........................................-----------------Frame..
Stucco-----.................................................. Finish.-----...------......----..................
-
Form 280.1-10M-12-63