5710 (2) 902 Ft. BbkAr
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.....==.........Lot No..._"-- ----------
Dafe..J.A .--31............................. 19_.. ' Permit No...�--Z�....................
Application is hereby made for a permit to .04)ZeD---- ---------_----------
. . ...... 1� _AA-64....P4_ -4 Building
a .............It�' ...ra.46. _5�<
-7X/r- Use Zone...._.-----'..........
at __9_0.. Occupancy........................
to be occupied only as ..................... - Parking Space.................------
1�0 'ra PU4�1417 rrdwifh.
in accordance with Plans, Specificati nd eat_/
Estimated Value of Improvements, $.........................................
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other laws
applicable to the con }ruction, location, and use of buildings within the City of San Jose, will be complied with.
tperformance-0 h k for
which this permit is issued I shall not employ any person in
any manner i5 , I to th.A;.rk'an?s wornpensation 1laws of California.
via P
Owner(,"-- .---�e�l
.........................
Contractor
ByAgent...' -""...................................................Address---..............................................._..----------
902
...........----------
902 Ft. Baker Roberte Brandai
RECORD OF INSPECTION
Foundation-------......---.......-......------ .............Frame.........................
Stucco................ ... ----------.. -...- -..... ..Finis h...................... ..........
...............-..... .
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P,e,�siDic� D2�
Form 480-1—IOM—I2-63