44183 (2) §45
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT j4qu,
Tract No.3.0-A.3--.1of No-1................
Date........ ......7........................... Permit .......
Application is hereb ade fo a peil�t2
a.—,?.......story, Typ --�-- - .....G,9 ----------- Building
at .... .............3.L)..5.6...... Use Zone......! ----
- ---------
pa n
0 Cu ..
........ ..............
to be occupied only as
LF,"
Y 7"0 .Parking Space----- ...............
in accordance with P'I:ns, t.,
or, aoi�owith.
Estimated Value of improvements, $-----ZY.. ...................
It is hereby agreed that the requirements of the San Jos. 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 person in
any manner so as to violate the workman's compensation laws of California.
Owner...T-1:11.9-o.T-A.Y.....7.PL&l.1n.AF4Address.............5..0.9. -C�:.................................
.
r
Contraill,,
Agent.----- ..................... .........I.................................
By ent......
945 Bu
b ' Dorothy Tammard
RECORD OF INSPECTION
Foundation------------...---.............-......-----...........Frame.....................................................................
Stucco---------------------------.........................................Finish...1pinaf�4w
..............
Form 280-1—IOM-12.63