33669 (2) 1099 9t6llihg
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date----/!� l
19 ------------
Pe mit No...............
.......................
A
plication is hereby made for a permit to a--------- .......story, Type--a-- ------------------------- Building
at --- ------(5-leZz rrig—
to be occupied only ,as
in accordance with Plans, Specifications and Plot-plan filed herewK
Estimated Value of Improvements, $....../.,4'
.. .. ..........
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 workman's compensation laws of California.
Owner Z�vj,,v......�. 4ddress 4974----�WAW�
-----------
Z .......t!44 ._-.Address —"?------------
BY ------
Contrllr�A
Form 280.1 1099 11n3,.jjg Linfield Invest . Co.
RECORD OF INSPECTION
Foundation ...........6... lGtTe
--------- Frame
Stucco ------------------------------
---------------------------------
- finish ----------------------------------------------------------------