43212 (2) )W drhhbof e 4", ,,,
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILD!r PERMIT
Tract Lot' No. - ---------
Date/ ... ....2_-,-.?............................I 19_��.g Permit No.432.1Z.........
---- - --- -- - --
Application is herebed fora permit Y--------------- ..................... .................
-- --- - ------ Building
a---------/...story, Type.7_�_( - _' I' * * *-
e�l U ' Zone ...Z.1-------------
7 ...........
at --- XAIA16 e
epancy -1---------------
to be occupied only as Xl� ....... ............. --- Parking Space
..................
in accordance with Plans, Specifications and Plot-plan file rewith.
61
Estimated Value of Improvements, $_V-7-- -------------t-_----------
If is hereby agreed that the requirements of the Son Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of Son Jose, will be
complied with. is issued I shall not employ any per.
I certify that in the performance of the work for which this permit
son in any man so'as f9,<ioiafe the workmen's compensation laws�f C�l!for
a Addrl*�� Tv 7 ye
.......... -- ------------
Ow er
Con or
2 GC-----------Address,,.Z.: --------------------------------------
ByAg
Form 280-1
RECORD OF INSPECTION
Foundation ���utigo.------....
.FFrame /y_7�fy. GptCGLiII`- ._.
Stucco ...................................__✓ Finish
T- 7,2