47024-F (2) L625 J�me�tawh
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT zkrq`
Tract No...... ...............Lot No....."'-----'----'-
Date................Jf -z19-1a..T.tr Permit No...._��.�.._� Q r
Application is hereby made fora permit to ....._ �� d..............................�
PP Y P �//... ...................
a---.....1.......story, Type----... .. rr --- - ----- -/' . �.... ' - -- Building
a+ ...6_7 ........................I a M e s fo w/> _ g�/ �AUse Zone........................
' - - `t..PQU�Pb ccupancy.. ---....L---'----
.... S
to be occupied only as :!.Yziz.!9....-.f ...-. �. rking pace.....---.�.---....
in accordance with Plans. Specifications and Plot-plan filed herewith.
Estimated Value of Improvements,$.--------- ._"
It is hereby agreed the} 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.
Ownerf�Sl fYi�__ . ..... Address/. .. .... . 7..I4e .fit
Contractor
ByAgant.... + r......Address_d...&T—sC A.
1625 Jamestown Wm. W'a#5;?n3 y3
RECORD OF INSPECTION
Foundation--.......-.................. - Frame.... .... - ..............................................
Stucco - — Finish....u`a.7:..�� ......._�... f_...
,r,-Zt�----
FORM 280-1 -I0m-2/65