43418 7§25 tz6itibbi4
CITY 00 SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 40A
Tract No. -IM.... Lot No. -----34-----------
Da,fe-----12-27.................................. 19-- 63 Permit*.No.--43..4-If---------
Application is hereby made for a permit to --c-onstruct..........................................
a-----1.......story, Type---V------ --- --- ------- -- -- --- ---------------------------------� Building
7 - - 4e Use Zone
at ---7.925 2,Rafnbow",.'Dii�- ------- ---------
r _Wcu pncy .........
to be occupied only as ....Re Sid!!N! --- -- ace -------7............
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $.16-too-0------------------
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and .11 other
'laws applicable to the construction, location, and use of buildings within the City of Son Jose, will be
complied with. work for which this permit is issued I shall not employ any per
. I certify that in the performance of the
son in any manner so as to violate the workmen's compensation laws of California.
Owner 54one-son.. 31
ti Address -------- ------
_Qon.$.t C ------ --------;Ri0---.B0X- 1
.AM on
Contr:,W San Bruno
BYA ---I ------Address --------------------------------------i..... ...............
.nt- -----
�`Ailliam Ern 9 Supt.
Form 280-1 .
RECORD OF INSPECTION, p.
Foundation P---, Frame (4;n117 CC-,K-1-6
$fucco ....-'............................_.... Finish ..l`_y."l[..
I