43790 1178 Stafford
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No......-_3281...Lot No........41............ �/ 22 aa
Date...................------------------3-/.10.... 19---6lf... Permit No.`. -32...1..().............
Application is hereby made for a permit to y......C.oZ1.s4Yerm.ctr.........
a_..1----------story, Type.. -O/V /_7W40 --- . Building
at 117.$._Stafrford Drive Use Zone---/2.
i �---.........
sin le famil residence Ong Space.....""
to be occupied only as ..........F......................Y. ParkingSpace
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $..j.9.1.000.........-."---•-. 172 �{�(�j�
It is hereby agreed that the requirements of the San Jose Building and Zoning r finances an 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 person in
any manner so as to violate the workmen's compensation laws of California.
OwnedIl..Braokfislld....Corp....................Address-...31.5.0-.2..(.)1.h....A.Xe.r a.._S-J
Contra�ct�y* -t-ones C tr ion
By Agent C7 A. - .-Address...P.Q.....B.ox.13.1.,.._San...Bruno
4Y1 111 "�-P ant
i
RECORD OF INSPECTION �p
.
Stucco-------------------------------------------- ------...-----..Finish-�---�.:(�.:r---..............Os.- -.---....
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Form 280-1—IOM-12-63 ,