47773 (2) 11-41 Kentwood
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
TractNo._...................Lot No........... .........
Dafe__��.zl............................... Permit No...'4' 7 ? 7-3 .............
Application . hereby d f 3 permit to M,-u 7 �� tr
is ere y me a 3Rr i _... --------
a....--./--------story.
. . ............
I . ... ......z. .................. Building
a......./.........story, Type__12;.. __1'
I 4�;&Zone....e.:�.. ........
at --- .......
ACIIPIG ......
XSpacy......................
to be occupied only as .1A &W� A�//t/Pln
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of improvements, $_e;;62AC)...............
If is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other laws
applicable to the construction, location, and use of buildings within the City of San Jose, will be complied with.
I certify that in the performance of the work for which this permit is issued I shall not employ any person in
any manner as to violate workman's compensation laws of California.
< Own Adc[res$//Y//��`..421-��_:�pl",�-
0_�Wner __Q
4" .... -- -:�� - - - ------ -- ------------
By-
.Ag—en. ........... . ..............................Address..................................................................
1141 Kentwood Gerald F. MunDZ
RECORD OF INSPECTION
Fr
... �lv......... ................
Stucco---- --.........--•-...............---... ...................Finish........................--•---
0.4
FORM 280-1 -10 M-2/65