437907955 Su
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No ... 3.281 ....... Lot No. --80..
Date ....................... -3/21) ............ 19---64... P'er'm"it' N oA�7--!�-o ------------
Application is hereby made for a permit to ........ o ----------
construct .......................................
.... ... . .. .. .. .. ..
a ----- I .......... story. Type ......... V ...... .............. ................. Building'
at --7.955 ... Sunderland ...
Ce
P
4
a
a ---
k ncy .......... ----------
to be occupied only a, s.i?�g-le .... P�Tpi iY .. A.-4 d Parking Space .......... 2 ...........
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements, $...1910W-.-----------------• Po
It is hereby agreed that the requirements of the San Jose Building and Zoning ordinances and all other lam
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 toiolate the workman's compensation laws of California.
Owner..Br.040k.f. ,191d --- Cor -P - -------------------- Address..3150m20th..A.va...t .... 3..-F . .......
Contract St APlant
!;u�onvruction .
%DmtT�1-------- _ AddressP...0,..-BQx..j31j ... San --- Bruno
By Agent -7 - ......................
Vi'lliam
RECORD OF INSPECTION
Form 280-1-10M-12-63.
Z -i