38609 6413=15 11611ih&i� Rd,
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION /FOR BUILDING PERMIT
� L
Tract No. 2..41... Lot No. ---t`"
Date-------.......... ......... 3 ... 19- `Z Permit No. 3 0 6-��-----------
Application is hereby
made
�for a permit to ---eu?_................................_...........-- .-. --9
a..QN.Er--.zfory,
Type-el- hBJ - rr.. l/. ..2r-------- ------------------------- Buildin
--
Use Zone .--- .--.
of -�. �. -�.�J... LL/- --- . -_ ..
n Occupancy ..-._. .-------
to be occupied only s - . .. - -.- - - V Parking Space ........... ........
in accordance with Plans, Specifications and Plot-plan filed herew
Estimated Value of Improvements, --- -�to
�Q .. . � 11\ '
It is hereby agreed that the requirements hJos Ri n y�J 7_dw7ng rdinances end all other
laws applicable to the construction, location eof it init in the City of Sen Jose, will, be
complied with.
1icertify that in the perfcrmance 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.
� �� t0 Vie&- - ---------- �-
r//
Owner ..-.�jf4Gl ----.---/---- -.:n--� Address ..--
/ W�. y/`C3J n7W_-.---
ByAg.nt E-/..:-///�-�.."2'e .-.... - - ..Address / K- . :.,--------
contractor :.....
Form 280-1 -
RECORD OF INSPECTION / L
Founda� vr.7..0/.
Stucco ----------------------------------—'----------------- F/ iniSh ....-r7