43790 (2) 1202 Sta'aford
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No....3-28.1.......Lot No.-_$6..............
-
?7
Date -------------------- 3/10........... 19....-64.- Permit No_....-.,3.?.A o-----------.V
cos
Application is herebymade fora permit to --------n------truct
----------------------------------------------------------
a.----1------s+ory, TYPe--- --.......... /-/- v--------------------------------- Building
1202 St ford Drive Use Zone-.-R-�-.
a+ .... .................. ---------•------ .....-
/Occupancy-----..-1�-.--..--...
to be occupied only as .single---family. re-s3den,ee �, -,
P Y Parking'Space.........I............
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements,$164.000 y��j ma�yy'//
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinan6/and/•11'otheAa:
applicable to the construction, location, and use of buildings within the City of San Jose, will be complied with.
1 certify that in the performance of the work for which this.permit is issued I shall not employ any person in
any manner so as to violate the workmen's compensation laws of California.
Ave. y S.F.
Brookfield Corp. l /
Owner------------ - Address - - ----- - ......
Contractor, oneson C $tru tion
By Agen+...-..-- --- -C.-r-- -----Address---P:-Q:---Box-.13 h----San--Br-uno
i], iam A. Plant
RECORD OF INSPECTION
Foundation--- ------ ata
.... ... .. ...............................
stucco--:...........1. 2—
---------------...... ----.. ...Finish.......... ............
---•-•-----------------------------
Form 280-1—IOM-12-63