42420 7954 �700
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FO� BUILDING PERMIT
Tract Lot N&
Date.. _2_/--------------"----- 19. __T Permit No. - -------
0/94
Application is her ado for f — ............ ........ ..... ...
ory, - ............................... Building
a...--/---_st Typ��aAF'4'___' 7"**'
IS—/7/.. Use Zone ki* 13..r-----
et ..............
rkupancy ------_7------------
to be occupied only as/---- ----------------- ----- g 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 Son Jose iudding 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.
certify that in the performance of the work for which this permit is issued I shall not employ any per-
the workmen's compensation laws of California
son in m as �o violate a .0, r
Address/40 6- -- - --.....Ow er
/
Contac
ByAgenaz... ............. -----------------------_--4
---------4 ----------
Form 280-1
RECORD OF INSPECTION
Foundation ---------
Frame
Stucco -------------------------------------------------