46864-F (4) 1474 JIih6§towtl N L,
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
-Trac+ No............. .....Low o............--- ------ `�
Date ....- .. 19- i 1t No..................................
App ica+ion is hereby r a mi+'fo !` /............................-.-----.' ...._---
a---------`--.-_story, TYPe----. . . ../-- '---'-- ---' ----'-" - ---' -----------
- - --- -- Building
at (¢..�¢-..--�Q....-...!�_J A!411e � � e Zone....e.}.� ....------
Occupancy... fir.....--.--.
to be occupied only as -� !'.e:✓-.. ?:f?... Parking Space........................
in accordance with Plan , Specifications and Plot-plan filed herewith.
Estimated Value of improvements, $.....3-_:�:�_v
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 manner so as to violate the workmen's compensation laws of California.
Owner._-:- )/ ,--j-AZ..... lAiv ......Address..Y.�./2:f-..... .fll!lfS ...J�vy_Q
Contractor ���G
By Agent-----BL/.L�.. Ue-&�..PQ-QLS.Addrass_�5 _FL.e%l//1/A/a....
,�LtitiJ U.9LF
1474 Jame Taz Kane
RECO--RD OF INSPECTION
Foundation__... ....?.........Frame.....--..............................................................
Stucco........................................ - V• C
...............Fh . ' �
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G
.... .
- 2 2
FORM 280-1 -101-+_2/65