45202 1047 N6v6dibk,
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION/ FOR BUILDING PERMIT
Tract No.---5j
............... Lot No. ....................
Date.....Ifl 2— q
�,2 9__,�.
_�_7 lermit No-------- .. ......... ... .......
..... --- ---- ......
�P ..............
Application is hereby—made for a permit ........... ..............................................
a--------/---story. Typ --------- .. ..... .. ......... ... ..................................... Building
at f17 -- --------- ------- Use Zone ..........
-1 08c �ncy ...................
to be occupied only as .. rKi—ngrpSpace .......:7/.-----
in accordance with Plans, Specifications and Plot-plan fi herewif h.
Estimated Value of Improvements, $/ e......t...........
It is hereby agreed that the requirement, of the San Jose Building and Zoning Ordinance, and all other
laws applicable to the construction, location, and use of buildings within the City of Son Jose, will be
complied with.
I certify fh perfcr ce of the work for which this permit is Issued I sh 11 not employ any per-
son in an man r s folate work
th k compensation laws of California
,
0 ner
ddress ... ... .... ...
-- ----------- -- ---------
C f
B gianctor ... . ............ .......Address - ------ --------
Form 280-1
RECORD OF INSPECTION
Foundation F
-4?w#*nn4;v
041V Fram.//:7.
Stucco -- -- ---- --- --- ---- --------- Finish .2�..-772.v