42815 ft
CITY OF SAN OSio_ /fBUILDING DEPARTMENT
APPLICATION FOR BUILDIN PERMIT
Tract No.cRq../.... Lot No.
j
Date..../..� 7---------------------- 19.G.... Pe�it No. . p
( / 0 .......................-
Application is hereby e�qr a permi4 .............
a---------{....story, T pe ....--'/-- --- "-. .. . ... ccupancy ---.....Building
i
11 ' ' �� -- Use Zone . .�.a.�--..
to be occupied only as ./..... l?���� $Parking Space ...._..Z...........
in accordance with Plans, Specifics+ions'and Plo#-pla-n'fil herewith.
Estimated Value of Improvements, $./1..`�.. �
It is hereby agreed that the requirements of the San Jo£a Building and Zoning Ordinances and ell 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 shell not employ any per-
son in any apner o a } violate t work s compensation laws of California. %J r
O ne" r � � CC�-�oC. Address /. CJ iJ, •/•�c.�2
Conctor tra - ..
Byw.of--- --- - ��Cf:C------------Address. --
Form 280.1 v
RECORD OF INSPECTION
Foundation/ :—i4.2 7-Z5. Frame
Stucco ....................._-----------` ----------- /Finish ------ ...........
C - GC/
/ 7o
- S��f!� / 0 -//- � v