41528CITY $hNdv fi4L1; L_1 .— BUILDING DEPARTMENT
CITY OF SAN JOSE
APPLICATION FOR BUILDING PERMIT
Tract No. . .. . Lot No......./............ oo
Date ... .--------- -----' ----------_.-------- - 19 ------ Per it No...
Application is herebyTade for a permit t�-----------------.__.............
a........ story, TYpL_ - �- --- ----- ............. ............. Building
Q Use Zone q:741
16!n4!
at ---- . ..-� -
- -- Occupancy ------�--------
to be occupied only as _ ................._....... MP/ark/i�ng p c , ------ -------
in accordance with Plans, Specifications arbl&an fiyf ak R#h.
Estimated Value of Improvements, $l/._"pD./.............
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and ell 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 se;/se vi -o -late the workmen's compensation laws of California. `
Owner/!^Y (mor -?�-Y-1/IsC._.01>
Address�OPl-��....
Cont acbi
---------'- ._ Addressr ....------------- ------------- - --'
Form 280-1
RECORD OF INSPECTION
Foundation .....c7...' �rZ./.._�i 315: Frame ....... /f G-- 3 "!_r
/-----/----------------------------
Stucco _..--- --_.-------_..-------------.1/ Finish .......9- S 4b 3 N.^"iJ) .