43487 §17 Ad 'town Ct.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
. Tract No...............C......Lot No.........................
Date.... ....2�--4 19... .4Permit No
...... C(
.. . . ...
WrzK -
Application is hereby made fTo,,r a permit to ---------- ---------------------------------------:.........
V01,000 10
16.,,PUAMLZAS.......I.......... ........................Building
a.................story, .......... /..... ........— 1?—(
Use Zone------ ........
at "-'--C� >........ 0 .......
to be occupied only as ---- A-0-1----------------- ancy-----------------------
/Y/V1ra'rkiccquSPp"hce........................
in accordance with Plans, Specifications and Plot plan filed herewith.
Estimated Value of improvements, $.......35..0.D.................
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 person in
any manner so as to violatt* the workmen's compensation laws of California.
..
.........Address.-5.?Zre7....... ............( ......CE.
... ................
Owner-//.............. ..
ConfracforT
-7
ByA, .. ...... Address. . . ....... ..... ............
917 Mc Cullers
RECORD OF,INSPECTION
Foundation.......
... .. ......Frame.....................................
Stucco.......... ................................................. ...Finish---
Form 280.1-10M-12-63