41277IMF SAN JOAAF"' BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. ._�n.-7.3 ... ? Lot No ..... . ..........
Date-----T..— /.91 ..................................... 19_6_5 Permit No...4-1.2-7.1 ......
Application is hereby made for a permit to ------- 723 ................ .............................
- W - ---------------- Building
- ------ ) --------- story, Type. _9_ Use Zone ----
------ ------
It --- Occupancy ----- ------
to be occupied only as (9. P --- Parking Space __9L - — --------------
in accordance with PlVanSificatio*n nd P
110 -pan ila herewith.
eth.
a
Estimated Value of I ants. .. ... .... ......
If 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 Son 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.
Owner . .......... Address - -- - --------- ---- - - --------------
................. .....................
c- rtnicfoBYA,/.L�'- Addra*ss ----...............
Form
280-17920 August Ln. Francis Shaw