46611Abs 8tihf6tidl %
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No ---------------------Lot No.------------------ ' �P/
Date
o.------------------
Date ....................... 19.(5= Permit No... ......... .........
Application is hereby made for a permit to .....Z-6 ................................................
a -------- I ....... story, Type ....................................... Building
.........
at ...
to be occupied only as ---- ........ _/_ ..... Parking tpac; ..... . ...............
in accordance with Plans, Specifications and Plot -plan filed herewith
Estimated Value of Improvements, $.....----- .0- ' '
0'
ld Ordinances end all other laws
It is hereby agreed that the requirements of --- 0. r.__`lB2ldms �a.dZ.niinq��C� a
h h j if S j b
applicable to the construction, location, and use of buildings within the ity o an ose, will a 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.
Owner.D.-'.&.!.5 ... oy.,i t9M a rsY.................. Address_.Z.7.!?.f5 ...
Contrac r
By Agent --- !�.L ---------------------
. ....... ........... Address..zo..?.'..? .....
C"e.
7452 Stanford j -71V- 3 -IS- Bc4is Tousignant
RECORD OF INSPECTION
4<30-45
Finish. v�'.��� ✓�
FOnm 280 -1 -IO M_2/65