49976 1023 Pennington
CITY OF SAN JOSE BUILDING DEPXRTMENt
APPLICATION FOR BUILDING PERMIT
Tract No..._..................Lot No.._......---.....-----.
Date----r... S-0....-........ I q..6V.& Permit No............_.......(.g.ZG.
ND
Application is hereby made for. a- permit to ..............
a......./........story, Type J&Z ]J�OMZ/.......................... Building
at ..../0-A-5......... Z-/V Use Zone----. ...........
Occupan.cy may------................
................
to be occupied only as ---IF444----------------4�ep kin"Sodco.
Plot-plan
- -----z..............
in accordance with Plans, Specifications and 201 ggl
lot-plan file?lerKitf
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 person in
any manner so as to violate the workmen's compensation laws of California.
Owner.....pa—; Address.........�.e.k C..................................
By Agent... ..
Contractor ;1 A—aress......................... .................................
...
1023 Pennington Dean Johnson
RECORD OF INSPECTION n_
Foundation..... . .....................................Fra ..........-.v... ------ . 1 G
Stucco................................................ . .... ms .. - 1......--- ...... .../.........
FOgm 2B0-I -IOm_2/65