43123 (2) CITY OF SAN JOSE / ��� BUILDING DEPARTMENT
APPLICATION FOR BUILDING ppPERMIT
Tract No.-uY�... Lot No�.e--
Datel.r� �.3 _ u 3 i 2 3 ✓
. `�^ .. ..........._.........., I .. - Permit No. __--------- -------------
Application is hereby made for a permit 40 �
a.......... .._story Type.... .... .-- .d/J/� ..------------------ . .......... ------------------------ Building
Use Zone - ---x.7:1---
a --- ---- -
--- - ------
. .. .
// 1. Occupancy ............/-------
_
to be occupied onlyl.... ... .... . .. .- Parking Space ..........
in accordance with lens. Sp i ' ations nd Plot-plan filed herewith.
SVC
Estimated. Value of I ements, ;. ---.- -----------/..............
If is hereby agreed that the requirements o th San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, a d 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 eny�ne/so as violate the workmen's compensation laws of California
�lAt r[<. Gt�...... ��Address�I..L. S- r .Gi+ - -- /
Contracbr ��
Byna.6f � ✓`�� ..L�-C------- ..Address � -----------------------------------
Form 280.1 /
yRECORD OF INSPECTION
Foundation ./.-.Z-G-el
Frame — Cd..__----
�'f ---
Stucco -----------------------------
-- --------------------------... Finish G.-? G.�L---- ::Gt_:e.l-.✓.``--`-.---.....-----
LGBS nncl