43212 1§44 WbAlatkwit.,t/
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDIr PERMIT
........
Date/,;;7- Tract Nd��. ,., Lot No.&_(!�. -----------_*
Permit No.43212
Application is hereby do for a permit to�__ -a....---/....story, ly,_T/
...... Building
Use Zone ---
at Occupancy ---- f -----
-- -- ----
to be occupied only a,/.—� qarking Space .-....2..---------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, ---------
It is hereby agreed that the requirements of the San Jose Building end Zoning Ordinances and .11 other
within
laws applicable to the construction, location, and use of buildings thin the City of San Jose, will be
complied with.
I certify that i the performance of the work for which this permit is issued I shall not employ any per-
son in any an a so t �,olafe the workmen's compensation laws of Ca i orn
V/tv 0 5' --- ------- ------
Own --- -----)1------------ -----�'.Adclress/K!�. ----------
Contr c Address _ .. .....................7�- -------- -
ByAg --- -- ----- ------------------------
Form
RECORD OF INSPECTION
Foundation Frame ..a`
Stucco ----------- ...... 7-
---------- .......... ......... -------- Finish ---- -----------------------------------