46182 7641 West HilrAL K
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No...3 L:;. '.....Lot No........-n---..... .... /
Date--........ ......----- 19--- x : Permit No. G- �..V.. .......
Application is hereby made foorria permit to .. r r Q .----------_------------------........
-
a.........I.......story, Type--.-].-.. G�f -.�TO'''�'�' .. --------------_------------- Building
71e.e X� Q Use Zone.-,R--�.........
CY et 7�: /.. FL. pr -
to be occupied only as .....�.-...; � P���P Q�C� " " er 'l ace..----'�...............
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $-..hT ``.�3
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 parson in
any manner so as to violate the workmen's compensation laws of California.
Owner/
B Ann'+. . `�'`��.........-------- ddress... . er-
13
RECORD 00 INSPECTION
Foundation----3 —1/0
.................. 0..........................�Z.Jrame.......... ...................... ...........---------
Stucco-------------
..........Stucco..............
. _67 ............
Form 280-1—IOM-12,63