437901 182 Stai-Eord
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No -3281 ......... Lot No. -9.0 ..................
Date---------------- -------------------- 3./10 ...... ig ... 64... Permit No.43.) .. O
.P ............... Y.
Application is hereby made for a permit to ....... C.0n.StAr.U.01 ............ --- .................. —
a.. ..•11 -....story. . T Pe ............. ........................ . .................. --------------- Building
. ..... .......
at .8-2--s i0or Dritve9
Use Zone.21 13 4
family residence
......................................................................
singre V Occupancy ....... . ..
to be occupied only as ---------------------------------------
- ------------------------------------- Parking Space --.....Z...............
V% — 49 V.
in accordance with Plans, Specifications and Plpfp&n filetife4e4with
Estimated Value of Improvements, $-16.2.004 . ...................
It is hereby agreed that the requirements of the San Jose Building and Zoning 07r5�nZ a(45all [f
It 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 workman's compensation laws of California.
r,.11 1 13---- 3150 -20th kve.9 S.Fe
Contractio5tone?n rruu-u3.v1L
... Brun.,
By Ag Milt .............. Address.P�.Q....Bjax ... 0
RECORD OF INSPECTION
Form 2801—IOM-12.63