41176CITY OF SAN I0%Edo'Le1C2 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract NCF=70. ........ Lot Nol�.%"``5-.---------
Date.................... ......_.. -- . 19 � - Permit No. _417..............
Application is hereby made for a permit fo'�..............�..
a-- -'/-story,
TYPe= ' 6 S
�y r/ --------- -_. ..... - -- ......Building
at ../.` C..�---------------....ltu' --- Use Zone
7 ..
to be occupied only as Z`T l�r�� /LP
in accordance with Plans, Specifications andPlot•plan file herewith.
Estimated Value of Improvements, $-/`S_ -------- /'
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 per
son in any manner so es t violatee e workmen's compensation laws of eCaliforni s
Owr i_vi'.'.i"" C..Address�lr.. _...-�-----�`-..-:/-........
caafr.a, Addres _...... ------- - .......
Form 2801
RECORD OF INSPECTION
Foundation ...... /....... 6 2- 'am ---------------------(o • 2 5, C c3 A4( F6
-------------------------------------
Stucco--------------------- ------ ----------- ----- ---. Finish ....._-------.?
1.OAC ....".1