46351 (2) 991 'bottorat
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.......................Lot No.....----................ /
Date....:.:.-- :..3/ .....................:._r I9.�0...{`---.. n Permit No.---- ..�`.......--�-f--------
Application is here f er info Add c) Building
a... - stcrY, TYP .. . ....../. ...... g
z C'o tfo„ 1 .
OC C Use Zone.-... .
pp ---------
king Space-:
.............
to be occupied only as ...��.. .�...�r-y. . ... - k� %" l/ arkicc $pace---.-..-'?r..........
in accordance with Plans, Specifications and Plot-plan filed h r�ewifh.
Estimated Value of Improvements, $........74z.D .............
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 mannersoas to violate
,,the
_workman's compensation laws of California. 4�
Owner 2� " -`�5kt 2+...-----.......... ....Address.. . ?..... ' (d�i �,
Confrac#or , n / q
E�
ByAgen+. � N-�6�a�Nkt -_L_i....Address.. �.'Q... F: ... ..
932 CottonwD.zd Gui le
RECORD. OF INSPECTION
Foundation...................... ..........*......................Frame............................... .
Stucco-.................................................. ..........Finish.17/1.1
..........
Form 280-1-10M-12.63