40898 CITY'A 'a I"- BUILDING DEPARTMENT
bWY OF SAN JOSE,
APPLICATION FO�,,BUILDING PERMIT
Tract Nor_:;.�--------- Lot'No. ...................
Date-.------- --- -------------------------------------- "Perif No.----- --------
Application is hereby-made for a permit to ----------------------------------------------------- ----- ---------
Ty:p,. -V V U..................... Building
a...... -.story,
at �I Use Zone ....zz.4--- ---
------------!o��8 �-!W�
(57 Ifl
,11W .............
to be occupied only as - ----------- r pace- ----------z---------
in accordance with Plans, Specifications and Plot-plan file erewith.
'5 719��
L
Estimated Value of Improvements, $. ...................... .......
It is hereby agreed that the requirements of the San Jose tBuMung 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 permitsue ' h I_n employ any per.
Wen's compensation lawsas issued
California. 0� no}
son in any a so es I ate 66 wor f li rn
Owre .
r ------ -- --- --- dress/ ... .... ...... -----
.........
cents" r C..............Address --- --- -------------_ _
------ ------- ---- --
-- ---
ByAq.n ..... .. .
Form 280.1
RECORD OF INSPECTION QQ
Foundation ..3--5.7- 43... .."1'..'."'._.-__---- la
----- -- ---------- - ---- ---- ------- -
Stucco ----------- --------------------------