40893 (5) Cw0F1 SA,- IJOSE Sara t oJ64SAnyva le' Rd13UI I WING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No- -------------------- Lot No. ....................
Date__:d--I ------------------------- 19._(__).. Permit No_
Application is hereby made for a permit to ---- ........................... _-------------
a------- ---story, Type_x—
. . , Alfe'r?0M---------------------------------------- Building
at 1.'?ol....... �4_27:_jz K"/� '6/' Use Zone ---- _<---------
c )ancy ----------Z----------
to be occupied only as Z7_40_nP-11-. C21701px --
CP pace -- ----- --
_-------- -
1a
in accordance with Plans, Specifications and Plof-plan filed herewith.
24
Estimated Value of Improvements, $..........71. ---.......................
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 manner so as to violate the workmen s compensation laws of California.
0j,- 41 - ----------------Address
-------------- --------------- ------
Owner . ......
comtrado'_Xl� -CC/......;..... /0';�r --- -------------------------
- -------------------
ByAgent ........ -------Address -�Z�i ni
Form 280-1 1301 Saratoga-Sunnyvale Rd. A. I
RECORD OF INSPECTION
Foundation •
---- ----- --------- ----------- F me ........................... ..............
Stucco ......... ------------ .......... Ae ?- 2-2 -C 3
-- - --- -- --- - --- -------
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CS
776