41706 1301 -11' 91) Saratoga-Sunnyvale
CITY OF SAN JOE BUILDING DEPARTMENT
'APPLICATION FOR BUILDING PERMIT
Tract No- ------------ Lot No- ---------------------
Date.............. -------------------o------------------- 19
a
permit to ---
tion is
Appli/7 hereby mad for .. ...........*---- -- ------- -----------
. .. .......---------- ......... ................... uilding
&e
-----------
V WO(Occupancy
a._'/..........tory,. . Type'/
at
to be occupied only as ................*.-,- Parking Space ---- ------ ----------
112,
ot-t
in accordance with Plans, Spa ications an PlPlot-plher j iV
ltl6X7
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 perfcrmance of the work for which this permit is issued I shall not employ any per-
son in any manner so a, to violate the workmen's compensation laws of California.
Owner e -- ---- -----
4&5 EIAj ///,,/ Address -----I----- _-,,
------------------ ----------------- -----
Contractor
ByAg.rf----
/(L/,/Wi� Address ...........
Form 280.1 1.301 (&&6ga�"VvaLe
RECORD OF INSPECTION
Foundation ---b ..... Frame .. -- ------------------- -----------------
Stucco ----------------------- -- - -------- --------------------------- Finish ---------- ---------------------------------------------------------
0 /C-
2- 2-,