40368 (2) CA69F SAN JOS v�'� hQ BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No��.. _O.. Lot No.L. ....b.......
Datez�4f.................................. 19.6.— Permit No..a...---...3........g -
Applicationis hereb ad or a permit to ............------
a------1 - -story, -,.a-------- �.. - - - ..... ------ --- -
� ----------------------. Build.
i
n
Use Zone-.1.-.Qp
at /L_Y-° /1 ........... .J:--
Occupancy ---� - ---..-.---
to be occupied only as ., `... `..... //� /� f ace ......1........._.
in accordance with Plans, $pecificafions ane Plot-plann'fil9 Improvements,
���d 6
Estimated Value of Improvemen , $..............
.....�............_.
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. 4
1 certify that in the performance of the work for which this permit is issued I shall not employ any per-
son in any manneer�sYsi.I.te t workman's compensation laws'of Californa.
Owner /. / /- ✓o: =- .. ........ - Address -//./... ...../U..... .....
conirecbr� J
By, .. .. ,..C -CN.z�`... . ... .......Address—- -- --- - ...-------
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Form 280-1
RECORD OF INSPECTION
Foundation ---- ........ -
Frame
......... ------
Stucco ---- Finish