43212 (2) i6t4 brdnberry.'is.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No._T-�/'-/ q . Lot No.7�__s .........
Dafe./�./' -1.7 . ....... ------
............ ................... 19------- Permit No.43.2-1.2...........
Application is hereb d for a permit
............................................... ------------------
a------....--story, :
Use ------------2Building
sZone __
.. .. ......... .............. .... . .. . ------- �1 --------
Occupancy ....1 j—------------
to be occupied only as/.. - --- --------- --- Parking Space .....*2.............
.............
in accordance with Plan , Specifi ti s of-plan filed herewith.
Estimated Value of Im roveme 3 ..............J,--.-
It%is hereby agreed that he re remenfs f a Son Jose Building and Zoning Ordinances and all other
laws applicable to the const . n, location, a d use of buildings within the City of Son Jose, will be
complied with.
I certify that in the performance of the w for which this permit is issued I, shall not employ any per-
son in any man �o violate the work n's compensation laws of California
so as z�
....��A�'r'Acldre ..... .. ....
... .......
Owner
............................
C "t `> ...
Address --------- -- ------
RECORD OF INSPECTION
Foundation ---- Frame
Stucco ------ .. ---- - Finish �.a�-I