38672 (2) CA59F SAN JOSE A63-nboi4 Dr._. • .,. BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No" ..------------- Lot No" --------------------
Date--------------
--------.-.-Date---------- I:;�------------------- ........ 19.4o_"t Permit No.....�)....&..(.....�-----. .
f1CVr
Application is hereby made ff as permit to ....._f3LO A-Ti Cbd..... ............
L J�6V
i
-- .....
a....... ..".---.story, Type.....5(. _ � - Building
-rhl/JOw JvL Use Zone ----]?(----.--.
at ..--...S..r2c6....... -----.._--------.._......---. _-
Pricy
......L...._.-----
to be occupied only as ......ONE_... -00 "' - erk, pace .....J..........._..
in accordance with Plans, Specifications and Plot-plan filed herewith,
Estimated Value of Improvements, $......f.:�V. .................
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 Sen Jose, will be
complied with.
I certify that in the performance of the work for which this permit is issued 1 shall not employ any per-
son in any manner so as to violate the workmen's compensation laws of California.
Owner '.---7l-a._4.._....r..f...)...................Address
Contractor it -
.....4,-----S..1.1.11/................../Address J.4---'1.y...--o—or...re1..................
Form 280.1 7558 Rainbow Dr. H. Earl T4,-,..,�.,
RECORD OF INSPECTION
Foundation ------------------- --------- --- -------------------- Frame ...... .......... ------------------- ....................
Stucco ----------------
--------------------- ------------------- Finish --- ------ ------------- --------------------------------
63 Q44