44695 (4) 1211 Stafford
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No...3 4........Lot No.................... �7
Date......................................6/16/, 19....64.. PermitNo.---
...:L.S-
Application is hereby made for a permit to ...--C.OXIStrUCt.......................... . ..
a --1 .-s+ory, Type -V! '.. -� (A/-- Building
.. Use Zone---_ .��.......-.-.
a+ IRU...S.tafford...Dxiys..................•-
,. ,_ ~hoc peace -" --I-- ------..
to be occupied only as Single family.,dwelling parking Space---.....Y...--.-....
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $16.r.Q00.......................
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 person in
any rrNer so as to violate the workmen's compensation laws of California.
e Brookfield Corporation EN
-20th Avenue.
Owner-----------------------------.......................... .........-Address.Sa3=ISCne
Con+rac tonesoCons ruction -P.O. Box 131
By Agent. _:.C�k---n� --.....--Address....Sari..Br11T1Dy....Calif ---
William A. Plant Licdnse #198484
RECORD OF INSPECTION
Foundations ... ..Kame.)...-3 --c
............................................................
sf ucco.-............................... .-.7- , c, �-,
...................Finish/.-2......... ..... ....
Form 280.1—IOM-12-63