44496 (2) 6658
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.......... ...........Lot No.-------.------......
Date.... ------------------LO...... 19hY.... Permit No.....4.41.4..l+_11.6,......
Application is hereby made for a.permit to .... j�....ivskIA4A...tt.n.
°-----.. ..---story, Type_ ........ ....... ..........................I----- Building
at ...... Use Zone___'R.f:.i.............
Occupancy-,=..............
to be occupied only as .-----444. . .........r W.- - king Space-----!Zr...........
in accordance with Plans, Specificafio s loge
�Adr h r-
4K_
Estimated Value of Improvements,$......W.-I.............L.......
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 person in
any manner so as fo violate the workin comp. tion laws of California.
....... A es......................................7j...............
n,
r
Owner....Z,�?. dd -
or
Confir for &Wtr-'�
Assess-Wf"W" ......... ...................Address............................................--------------------
6658 Clifford Ct. George Hect
RECORD OF INSPECTION
Foundafion.,�.�--.�. ...... .............Frame......................................... .................
Stucco..........................................................
Form 280.1—IOM-12.63