44829 1183 Staff6rd
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING .PERMIT
Tract No......3-281-.....Lot No....57-..................
Date........................................711E?., m...64.. Permit No...�Y%E..� (
Application is hereby made �for a �permit to .....C.Oristrllct..........................................
a...........T---story, Type---v--------•--- ------....•-------•• ._---------------------------------------------------- Building
at 1183....Slafford...Ariuev.............---= use Zone.--2-(-a-�-----
Il) r ��Oc upancy---- f--------------
to be occupied only as ..-$117g12..famimy dWell•1•ng'LParkin0 Spaee--------v..-----...
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $-...1...6..1...000..........._9..........
..
It is hereby agreed that the requirements of the San Jose Building 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 person in
any manner so as to violate the workmen's compensation laws of California.
The Brookfield Corporation A150-20th Avenue
Owner.........: ......................... ..• Address.... an...Fran.ciszn ----Calif.
Contra Ston so nstructi on Corp. P.O. Box X31
By Agent .�[.�y�.,.. -:...� .......... ----Address.San...Bruno.,....Cali£.................
William A. Plant License # 198484
RECORD OF INSPECTION
Foundafior6!%/.4.0-n4
............................................
Stucco-....-
. ...............Finish....7
Z-
Form 280-1—IOM-12.63