42612 1120 Stelling Rd.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
TractNo- -------------------- Lot No. ......... ..........
Date._----------
......1-7........�_2_7.. 19-0. Permit No.;� j��/---
Application is hereby made for a permit to l..J CT f - ----------------------------------------------
a-------/------story, Type-Y...... .................... Building
--- --- -------------------------
at Use Zone ........
jxpz�_qq�y Occupancy ------ ------------
to be occupied only as/lr5F ------1. 99 �-J )0
AV.1 I. Parking Space ---------------------
!;�an i a
in accordance with Plans, Specifications 4�Ofepp
-
-
Estimated Value of Improvements, -------------------
It is hereby agreed that the requirements of the So. 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 Per-
son in any manner so as to violate the workmen's compensation laws of California.
Owner Address
c at, % Address
Stelling Rd. E. J. Roth
F_c,m 2:11�1:211
RECORD OF INSPECTION
Foundation --- --------------------
-------------------- ......----------- ---- -- Frame
Stucco ------ ---------------------- ------- - - --------------- Finish 12