42815 �CI Y OF SAN JOS140 07/r BUILDING DEPARTMENT
APPLICATION FOR BUILDINP PERMIT
Tract No� q c1. Lot No. /.%..7........
Date/ ..... .----------- -- 19 - -� Per 't No.y-2 /- ) -- .--------' 1
Application is herebdo for a permit to ------------------ ------..---------..................
a---Z-----story, Type- ---- ---- - .i .All
---._ ............. --------'--- .. Building
-7 �j py i �L jngl'
-Zon ... --/Q.G-----
a+ .L./..U......� -- e-n- -------- --1 ----- - /�7
/� },„ 1f cy .-----F---------
to be occupied only as r..� ii1- ------- .. S ....._�—......._.
in accordance with Plan „Spa if'e jo��rY�"�' an/i ith.
Estimated Value of Improvements- , ---------SD O _
I+ is hereby agreed that the requirements of the Sen Jose Building and Zoning Ordinances and all other
lows 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 nneAso violote� a work
m
en
's compensation laws of California.
Owner -- - �7 P�tAddress
..... ..mss-.. - /
Cont, ctor
i ........ ...............
ByAa•nt � ...:....... ..... .�c��'�C�-�'---------.....Address..
Form 280.1 -
RECORD OF INSPECTION
Founds+ion � ?--6 - ,�( i-c.-� Frame
Stucco --------------------------- .......... .......�'- Finish
I,Gtl! m,oti