42420 (2) CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATITract NoON FOIL BUILDING PERMIT
.71 '; No- --------------------
. Lo
Date-.G.
...........................W......... 19---------- Permit No. ------
Application is her n;ade' or a permit to,�_—el ........ ............. -----------------
e. ..... .. .....
°...—"-/----story, Type;9... . ......... �.L /......._........ Building
g Use Zone /�J.Ijk------
at ....../9 P.e�--- ----g------------------
67 V&;VTancy ..........
'OK/ g Space
........Z_
to be occupied only as -/-;------- ... . .........
in accordance wiW Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $11-5-7�4�2
'/ ............................
It is hereby agreed that the requirements of the San 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 violate Xte he workman's compensation laws of California.
..... .......
rloz, e-, --------------
Address ---a.._............% ----------
C tac
.....
..........Address
Form 280-1
RECORD OF INSPECTION
Foundation /Q..` _^�:...7..L`� i!�---- Frame
Stucco ....... .... --------:----------.._.....------