46478-F1064 Westlyn L
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
/pica
Tract No.----•- .Lot No...... -------......-----Date....- -......----- I ...----- Permit No------- -- - ------- Ais hereby made for a permit to ...lU................... ................................
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8t../.. U �O-_ YC _rY.. r. / .L .: C./. ... A y / ilk /c
/ �O�pancy. .... - ....
to be occupied only as/....... {D.Q-I...---� Parking Space ........................
in accordance with Plans, Specifications and Plot -plan filed herewith.
G
Estimated Value of Improvements, $..s:z ....
is hereby agreed that the requirements of the Sen 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.
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 workmen's compensation laws of California.
Owner -.1-e-/=-_2 :���-,Y-------------- -----Address.----- ................. ....
Contract /� 9z4yy 7
/ LAddress-.,� 33J -.--......
By Agent-...�..... ..-:.... ------ -
1064 Westlyn J. Tracy
RECORD OF INSPECTION
Foundation...... ............ --• ..... --------------------- ....... ... Frame ................ ......................
�...-��-- -
Stucco.-- ....------- ...... ............. Finish ....
Form 280.1—IOM-12.63 -