43418 i22O Y6rkshii6
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT -f 2 A
Tract No. 3.281........ Lot No. ...12--- ----
Date---12-27------------------------------------- 19._63- Permit .No._J... ------?-----------
Application is hereby made for a permit to -----------construct---------------------------------
...... ----
a------1.......story, Type... V..............................&2------------e Use .Zone.a-----g Building
af_..1220.:40,�kshire. ... ..
Occupancy -------r-------
pace ........2............
to be occupied only as .-.Residence,.'_......, ; Parkinge-S
in accordance with Plans, Specifications-and Plof-plan filed herewit
Estimated Value of Improvements, $17PO-Sc......... ..... ........................ .,
It is hereby agreed that the requ;rements,of-the San Jose Building and Zoning Ordinance, 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 perfcrmbnce of the work for which this permit is issued I shall not employ any per-
son in any manner so as to violate the workmen's compensation laws of California.
Owner St?,,ne.son---G.onatruCt!On-------Address .-RAO......Box---131P......... ----- --
Contrado Address San Bruno -------------------
ByAgent- -------------------- -------------------
William A. Plant, su�_-
Form 280-t
RECORD OF INSPECTION
Foundation Frame
Stucco ----------------- -21911K --`--------------