40893 (4) ar yvale Pd // 7
AAOF�'SAN SaJOSE �r'o'at_ "rk 'BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No- -------------------- Lot No. --------------------
Dafe-.Fp-/ ..... ............................ 19.6-3. Permit No..... ----------
ea
Application is hereby made fora permit to .....els�1=/ltz?- --3..........................
7
a------- ...2--story, Type.... _2 - ------ ------- --------- . Building
� le-' 49,1. Use Zone .......<.-
..........I a_- r-
�ancy --- --- ------------
to be occupied only as $pace .........2_.......
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $---/ ------------------
If is hereby agreed that the requirements of the Son Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of Son 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-
sonthe k an's compensation laws of California.
son in any manner.so as to violate he rkm,
Address ............... .
.......... ....... .......
Owner .... .... ..
canfracmr�f/� Q'/ Address A
ByAg-nt ----------------Add V
Form 280.1 13 3esaratoga—Sunnvval i-b Pr]. Bqa ftchini
RECORD OF INSPECTION
olation ....... 7-C. . .. ... F S C.
.. ..
. ..... .... .... .................. .J� Fra . .. .......... . ............................................ .
Stucco - -- -- ------------------------------ ----------------------- Finish 7-2--2-4 .3 R44,6
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