46240 7625 'West i�N _ /� L
CITY OF SAN JOSE y-• r!ur BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
�S ! v
Tract No..3-.. ...............Lot No/..----------.....----..
y6 2.
Date----------....2.-- 2- -3-------------------r 19.6.'x.- -• 'Permit No...----.. ------........... ..------
Applieafion is hereby Rt"
to --------------------------------.....................................Buildin
a---------.....story, Type.------•-/•---. Z.c-uF.. ........................ .. 9
7/,, Use Zone-An!....... .....
of ...............}�..._j'b G�1.......... ^r
to be occupied only as ./....:......�.4el --- !/iP6rltigg iLar e-----2<-----...----
in accordance with Plans, Specifications and Plot-plan fil herewith.
i
Estimated Value of Improvements, $.. .:...
It is hereby agreed that the requirements of the San Building and Zoning Ordinances and all other laws
applicable to the construction,,location, complied with.
, and use of buildings within the City of San Jose, will be
1 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 the workman'scomponsation laws of California.
Owner....---- -- Address------------------------------------------------------------------
n, �:aurfrerr-m--nssocln'tEs;we:....-.
Contractor 1065 SOUTH HIGHWAY #e
SAN�2Cy39CALIFORNIA ........
-------.By Agent ... Address........:
1q�YG(
RECORD OF INSPECTION
Foundation.-.1...:
Stucco ........................................................
....7i ...........
Form 280-1—IOM-12.63