48441-F (2) 8061 Hyanni8port I
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
TractNo.......................Lot No. -- ............----
_4 Date... .. .. ..............., 19----....... Permit No._
Application is hereby de for a permit o ...........ffo ...'e/ ------------------------------------ -----------
............. .. ..... .... Acling-
.
a..................story, Type--- --- - Use Zone.................-
at -------
ccupancy-----------------------
to be occupied---o--n,;y as ..... --------- arking Space....................
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of improvements, $..._3 cj....0.............
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.
I certify that in the performance of the work for which this permit is issued I shall not employ any person in
any manner so as to ,olate the workman's compensation laws of California.
.
....
0vner.,Slll. �,��.L�Xdclress---?Ie!,61.....
.... ...
Contract or I
/, _ ...........
By Agent......./2 :r---- ....... Address.....5_�F 3
8061 Hvannisport B.V. Schweickert
RECORD OF INSPECTION
Foundation.....).2:.. ......Frame.....................................................................
Stucco.. ............................................. Finis
--- inis
FO A'n 280-1 -10 -2/65