38884 A47 OF SAN JOSE 8tendahl BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tracf No- -------- ----------- Lot No- --------------------
Date_..._... ---------------------------- 19---G Permit No. ..
..................
Application is hereby made for a permit to .......... .... ....................... ..............
a-----........story, Type....... ... J --- ----- - -- _............................ Building
Use Zone ---
at 1
pancy --- -------
to be occupied only as .....?ffly.......PPOY..... �O�P fak'3,n epS
,r ing Space ...............
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements. $......3c..... .._...................
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 per-
son in any manner so as to violafe the workmen's compensation laws of California.
?If'&YV0 7jVA4111- --A---
Ana;_--.--......
Owner Address
--------Address F
nlactor .......S.-A Vin
�;Agllat
Form 280-1 747 Stendahl Lane D- Mc Donald
RECORD OF INSPECTION
Foundation
Stucco ---------------------------------- --- ------------ --------- Finish ---------- -----------------------------------------------