40898CITY OF SAN JOSE �� P� �n
APPLICATION FOR
Tract No-
Z
Date----------- ................................. ........ .......... 19. .....
Application is hereby m/deeffor a permit
a ........ //---- story, T ------ham-- - ----
Lane ' BUILDING DEPARTMENT
BUILDING PERMIT
Lot NO./.....X......
No. ----- q0t /1-------
/ .................. Building
Use Zone ...... R..I---.-.
a-- -------- - '--------........._...._. ........
Occupancy ........... /..........
to be occupied only as ! —�`L" -- �� ..—...
in accordance with Plans, Specifications and Plot -plan filed herewith. v
Estimated Value of Improvements, $.s/._.....
It is hereby agreed that the requirements of the San JoseBuilding 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 en ea'♦Ier gS to viola the workmen's compensation laws of Celiforn' . —
G/✓H/ ..C..Address��h
Ovrl - -- ......... .......... ..
B nth. es c
-:....... ' - ._....... Address ... ` ---------------- .........
Y92
Form 280-I
/ RECORD OF INSPECTION
Foundation ....��..�6„/C.-Wy.... Fra e v —�° 3 •_'_'i
Stucco ------------------...-----.... ---- Finish 6 b 3 If'�-Gtd7