44675106 '96xmdib&
CITY OF SAN JOSE
APPLICATION FOR
Trac't No �4/—
Date.."./........y ---"19 .
Application is hereby made fora permit
a ...... / ----- story, TYpa�
to be occupied only as ./...`
BUILDING DEPARTMENT
BUILDING PERMIT
Lot No. r ...........
Permit No.T�b./...3--------------
-
Building
Use Zone --- ..I%-_(-------
..........
....
or
Par in3 Space _. .........
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvemenh,.....7� ...:.........
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 Sen 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-
son ge
er so s to viola }he workmen's compensation laws of C fcrni:
- ........ ......... - Addresso
..........
Form 280-1
RECORD OF INSPECTION
Foundation .. Frame
.%I.....
Stucco ---------------------------
4% - ----------- --------