47188 1111 Steeplechase
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No...... ...............Lot No..........................
Date..............-------�--- --�-^------...........-. 19----��i Permit No.....y 7I---/------....-----------
Application is hereby made for a ermit to __62? !_Ll ! f.�'-. env °�u Ta....
a...�.U.'C'-...story, Type :....f --- - -•---- ---- .q.—................................... Building
l_ ?Ify`I°�cs+_J �_ L Use Zone--- .--�..._....
at ------.1.1...1......�------------------------P...---ZJ� z a/�y/�P $
/I/,!/ cu ancy..._ :r.............
to be occupied only as ..Ce9NA... `& 1.....---------- mg pace----..-Z ..........
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $....Z-_0 O..`...................
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 Th wo k en's comp nse}ion laws of California.
Owner
-Address.��.��..:9 � ZvcrR
Contractor
ByAgent...............................................................Addrass..................................................................
1111 Steeplechase n Street
1
RECORD OF INSPECTION
Foundation----...............-----Frame.----- ................................
Stucco------------------------------------- ......Finish......
721.-65
- - --
FORM 180-1 -10M_2/B!