43790 1206 Stafford
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No........,3.2.81...Lot No...8.5..........-----
Date.......... ...............-...3/1Q 19...4k... Permit No...43_21� Y�
Application is hereby made fora permit to ........con
.�,.,.....struc
.y../...... t............................................
a----1-------- story, Type .....-'-----V/�/ //l✓/..........................--- ... Building
at .1206_._StaRTord Drive Use Zone-../ .��.....----
ne
to be occupied only as .
single family %�de �/pa`rOkirn'g'$pace........3c...----....
in accordance with Plans, Specifications and Plot-plan filed herewith. �"
Estimated Value of Improvements,$--- 9.1.���• �� �Rj 7t�
It is hereby agreed that the requirements of the San Jose Building end Zoning Ordinances and a 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.
Brookfield Corp. 3150-20th Ave. , S.F.
Owner ..-......-............ Address --
Contrac r Stone�on � stuction
Y 9 � E f +f ✓/ Address.P'.Q.....flOX...�31.,.._San._Bruno
B A ant. ....... -----
illiam A. Plant
RECORD OF INSPECTION
Foundation.-A .............�r.... I----....FTame...O?f:?V
Stucco................
.............------------------..........
--------------7
Form 280-1—IOM-12-63 ly