43123 CITY OF SAN JOSE ';. BUILDING DEPARTMENT
APPUdATION ROR BUILDING PIERMIT
� I ��p .frz/ Lot Nom=F. / f
Troict:No ----------
Permit No....q1/__0..
Application is hereby—made fore Perini ------W------: .....
a.:..._ ......story, Type- Building
- -- - -------- -......_...---...Building
22 J?:�t_-Bk
at ;?1a4lf se Zone A//67cycupancy --------L------------
to be occupied only as/.` ------------ ...... Parking Space ..._.Z... -
in accordance with Plans, Specifications and Plot-plan file herewith.
Estimated Value of Improvements, ...........
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 that in the performance of the work for which this permit is issued I shall not employ any per-
son in any manner so ato violate the workmen's compensation laws of California.
.... . . ....
--------------- ----- ------------------_
YAge
11
r. tar . .... . .... Address,
Contractor
Ion 4)AF1.�X0- .
�Er_-
Form 2801 a
RECORD OF INSPECTION
Foundation ------ Frame
Stucco ---------------------
--------- ----------- ------e'rnish
14M