39249 (2) C��-bR SAN JOSE M7:1-1:?..�' AV2. BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Traci No. �.s..�.'.� Lot No. ...�v..4._.... .
Date... Ice+ion �s hereby made for e permif }o' �j-Z,,..�+ No..�.R...2...�.l..
�c�r�.F.-- - ..... _.. - � 19....�.2_ n
�. . . -�._/..... _a__- ..._............. -- - ..
°----.._..�..---s#ory� Type�--����.---��W�-(�i._�I........�Z�a..-�.r....... Building
.� � ..-{.�/ � Use ��na ....�. .�-�.` ----
e+ �i-ti��..-9..�: - � --
occuFfancy ---'y.------
i fo be iad only as ..... - -..- ""�.-..--- .--C4N��� Perking Space ......�-.----.__.
-
r
in a corde ce wi P,I�rs,\� e if' fi' an o+- la f' d�yrewi+h N �
� P I '
�i�`�i � C� �..
Esfima � alue f Improvemenh, --.._. .......... .... ... ...........
' k is hareby egree fhet fhe requiremants of}he Sen J'se Building end Zoning Ordinences end all other .
laws appliceble fo fhe construction, locetion, end use of buildings within the City of Sen Jose, will ba
<omplied wi}h. .
I certify ihet �n the performence of the wor4 (or which ihis parmit is issued I shell not employ eny per-
son in eny manner so nas ta vialate ihe workman's compansetlon laws of Californie.
' _ '/�, /� ' �.-..�. .6_..�-/��� r�-�'�
Owner ...��...�K�'Yi✓.`ti9-`-=..�=''�--Address
confncMr � Q '
By�a.����.<��R.�L,e�v�! ,-.. ... �1,'�`�Address .................- - --.... -........ ..--..._..
, Fo�m zeo-� 949-51. Mi11en at,o Helen H. Davis
� RECORD OF INSPECTION
Founda}ion ----C..--.--G."Co_7i..�.U.«�ame ---- .._ .. ...�----_[. -�3� Z
- -
-
S+�cco .._.. .r,ly,�.� 9_-.J3l..z Finish .. - II.'...7.:.:.�_� � f? �3f2n� f
� v � � ,�
�, . vd o o� � .t,J v�S��-.,,�
t . (,i.rG9
P,
,., i.�a. �,��