47197 (2) 7451 -Xingsbary z-
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No... QIrneLof No.-----/...............
Date................................. I 9.jC1 Permit No...' 7Z.t7...7: .,F
Application is h b do for ;a?erm*if to ..I.n6(............... .............................
a..............--story,*Type.. ... . .... ...... .... --------------------------------------- Building
Use Zone........................
Occupancy........................
at .1m
s
....... .:Tn........ /%4,19�t/CPikicg Space........................
to be occupied only a -,PD-le
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $..1...j Z�) '*
........... ...................
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 shell not employ any person in
any manner so as to violate the workmen's compensation laws of California.
17q
Owner....d2t.A.A....A� Hx� .......Address...........
Contractor7Z ��d ....Address.....
By Agent.................-......--•`
.
C....I..
V
7 . 3Ki n 01
gsbdi��/7` John H. McComas
RECORD OF INSPECTION
Foundation..
...... .._...---Frame-----............
Sfucco.................................................. ................Finish......
F.-- 280-1 -IOM-2/65