423991C TY OF SAN JOSE -3tlttttyVdl2^�gdra4 SaBYILS�NG CEPARTIrIE'NT
APPLICATION FOR BUILDING PERMIT
Tract No ..................... Lot No.
Date ----------------- /4.7 ................. ...... 19....Permit No- ----- =4.2,3.5''. ).-------
FN r Frs Cr
Application is hereby made for a permit to .....lQ_-_(NT.........�/!Ti �o uS 7b d
a --------- 1 ------ story, Type ----- �- -- - -................................... Building
Zone --- --C_ ^1--
.---
upancy .......... F.z...
to be occupied only as ... .1• uT_.`7---------(LLnf2 Parking Space ----------- .... ...
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements, $ ------ 1b°.4) -------------------_-
If 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 per-
son in any manner so as to violalafeett�h(e workmen's
Acompensation- laws of Cal%iforrnia. L�
Owner L... .....:/...rl%�!.G7_d�ess .L.S:.l.........'...... 1 -
contractor c
ByAgent ...:.... «--C'----------------- �'---.... Address ---------- ........
Form 280-1 1361 So. Saratoga -Sunnyvale Taro Yamagami
RECORD OF INSPECTION
Foundation .... ............ ... . ---- ....._7,-,r6 3A&44
--..... ......... Frame ------- ------------ ------------------- --------------
Stucco --- - ---- - ---- -- — ------------ ... ...... ...... Finish ------ -