41176 (2) 84AF SAN BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract NW!e-71F Lot No.Z ........
Date........._.. ................................... 196 -2- Permit No._-zon-6..............
Application is hereby m d for a permit ta'<:Z-1�
------------------ ................................. .........
a---------Z.story, Ty .... ............. .............................. .... Building.
Use Zone :n
to
--------------
•
to be occupied only as -/-.-.--—-- -------- --- -- - ------ 6 /fPd'rtn7 . . ...........
in accordance with Plans, Specifications/and Plot-plan filed-herewith. I
- 1-1 d9
Estimated Value of Improvements, $.../C
.................... .../-----------
It la
s hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, ands
of buildings wthin 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 shp.11 not employ any per-
son viola t th oA en's compensation laws of Califo 7i
n in n, in
so a
0
y A'a.
0 .................Addrili ------- --------
nt ------
Form 280
RECORD OF INSPECTION
Foundation - - - ----------- ---- F IV6.3-—-------------------
- -
Stucco --------- ---------- ---
--------------- ------ -- ---- ------