43123 V 392E SANDi���
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
19.(x.....
Tract No'����' . Lot No '"%�........ .
Date_../.... ..--- ----- -----.... .., Permit/ No.------
�. 3..-------.-.-
Application is hereby ma �o/r a permit to;-_s .......`...................................._........
G
Building
°----..._story, Type�C/.--------j . ............----��---....------ ----------... g
/ !v Use Zone ...c��'.L'.-.F3-6..
of .7_..9._4::8..-1 - --° .. :... ,
_ ccupancy
to be occupied ons as il_`..�n".....f �-O �v�,,Ov r�in-g�Space ..........3.—...
in accordance with"Plans! aiticationss and Plot-plan Zed herewith. \(J
Estimated Value of Improvements, $-',`5-.G.a.............
It 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.
I certify thet in the performance of the work for which this permit is issued I shall not employ any per-
son in eny�anner te P so as violaa workmen's comp
ensation laws of Celifornie. ,
/ GGG! y�. _fGLGleC�' Address/
Owl
A- �>- ----.
----------
Conhacror� / ............
�.C. . Address.:..'. �^` -' .... -... .
Form 2BO-1 __ -
RECORD OF INSPECTION.
Foundation -------..- Frame
sf ucco
- ---- - -- ------- Finish 4."_