43002-V 940 Stet 11tig
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. -----------/.. .
----------/..... Lot No. ....................
Date-.------.. -----21 ------ --
--- ---------1 19 Permit No_dr :�00z�.�_
. _v
1z ---
Application is hereby made for permit to ..........................._-----..----------.-------.---
f__s 71 T
a...
Zr ........;------------------------------------------------ Building
Ty �;31---- ------- ........
Use Zone
d
Occupancy 4_2 -__-c
to be occupied only as .......... go 'LC Parking 0 ----------------------
at
in accordance with Plans, Specifications and 40pail'ild-
Estimated Value of Improvements, $---, �..Pop...............
It is hereby agreed that the requirements of the Son Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of Son Jose,
will be
complied with.
I ceHify that in the pericrmance of the work for which this s permit is issued I shall not employ any per-
son in any manner so as o late men c mpersis i
t the workmen' n law f Califc,nia.
Gv7L
Owner ...... Addr4es -o............... ... ... .. ..... . ......
contractor�W__X_----Fs�'I'eI4 0 S, AIS
._ _ - I Address ByAgiunt---------- .... ... ...... 45;Fe� .'
4 � i -------------------------- -- --------- ---------
�,�o_�t 4 ... .... ......... ...
Form 280-11 e
RECORD OF INSPECTION
Foundation -------------------------- - ............... Frame
Stucco . .' G_p.Y � ..t: -rrr .---- Finish .. Cyt.. . .✓..� �/
CrT
26 j 22AirC - 3-r/-6