40070 (2) TT OF SANUVI'rl BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No!2-0..(---7------- Lot No.
Date....... ............................... 19671- Permit No.40-0 40.0.70:.:...:..'
.........
Application is hereby made for a permit to ?&?74 te 1-mG—&-,,
a.---------------story, Type_..---......_ --- ------------------ --- Building
at t.-2YR..... Use Zone --- ------------
-/4W
occupancy ...
I U
to be occupied only as ...................... Parking Space .... ................
/-----------
in accordance with Plans, Specifications and Plot-plan filed/herewith.
Estimated Value of Improvements, $4-C.1.0...... ..... .... .......
It is hereby agreed that the requirements of the Son 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.
I k(
Ownea--/;�- �,--- --- . . . ... ....... .........Address ....... ......ly
t-�g.nt Fe'2� Address ........................................ ....................
y
Form 280-1 LA8 Stelling !C. T. Lindsav
„ + RECORD OF INSPECTION
Foun at' - . �..� � G ?/
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.
Stucco ------------------------------- Finish