42420 (2) 1035 P LaterCITY OF SAN iose� BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No�._-/- ---- Lot No. 66..........
............1 194.1....... P it No._Vz-V40------------
Date-..fl ...............
Application is her b d f a permit tip .......... - ------------------------------a--------/—story, Typ ------------ - ------ .................................. Building
...... -- -------------------- Use Zone -6------
ccupancy .........;r---------
to be occupied only as Y�--- ----------- j;W,00V11i16arki scup
filed here.100,n9'Space ---------
in accordance with Plans, Specifications and Plot-plan with.
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 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 per-
son in any man r so as/o� violate ! e workmen's compensation laws of California.
r Address
.... .. ......... .
co c /
------Address ----- ----------------- --------------- -
By
Form 280-1
RECORD OF INSPECTION
Foundation ---1.&1-70-7-7-4....312-—------ Frame
-- ----- -- -- -- ---- ---- ----- .. . ..... ...
Stucco ---------
Finish