40070 (2) 7C'g OF SANRJOSE"OW BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. .......... ......... LotNo. ,2.0-4.......
Date------------- ----------------------1 190- Permit No'40-0-70--------------
Application is herebyAade for a permit to
a----------------story, Type - --
--------- --- . ............. Building
7 1 oz Use Zone ---- ----- --
at I --A-.
.6..... ----------------
.3-3---- ------ --�7
pancy .... ...........
to be occupied only as ------------ -- ---'*�WWea�rking Space ..... ................
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $1-aq.......................
It is hereby agieeci:,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 manner so as to violate the workmen's compensation laws of California.
Owner Address ------------------
------ --- ----- --- --- ------- --- ---
.. ............Address .. --- ----- ------------------ --
Form 280-17732 Rainbow C. T. Lindqav
RECORD OF INSPECTION
Foundation ------------ ----- --------------------------- Frame ...... --------- ------------------------------------------------
Stucco - ----------------------------- ----------------------- Finish ....... --------------------------------