43790 (2) 1186 Sty;,-fdrd
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.........3.281-1of No...89.................
Da+e---.................................31.70-----r 19---AL. Permit No. � �--Q...........V
construct
A plication is hereby made for a permit to .............^--....--�-........-------.---.-----..........--..-----...-
-. story, Type V 12.4/�'?��/� 10441
as+o T e - ......................•----------... --------....-----._...------...--- Building
1186 St**.ord Drive / d Use Zone-R-ll.
a+ .-....................------ ----------......-----------------
singel family/vsiders•ce/�foocepa;;cy:.......L...........
to be occupied only as ------------------------------------- Parking Space..--....2..--.-.......
in accordance with Plans, Specificalo s �d Plo+-plan filed herewith.
125 «
Estimated Value of Improvements, $-...-..s�OQ--:------------------------------- �� l_ r �
It is hereby agreed that the requirements of the San Jose Building and Zoning Or ,nonce end a of er aws
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 workman's compensation laws of California.
Owner.....BrQQkfield--•_�orp-.----------- -- Address-.._3150-20th- Ave.-,- .S.F.
ContractorStoneson bo tructi-on
/�` y- Address-P-.-Qa.._Box-_ljl--_San -Bruno
By Agent....lC.. . - -
William A. Plant
1
RECORD OF INSPECTION
Founda+ion-.3
Stucco---'--'----"----------'---------
—/......Finish (/ -^----'
Form 2801-10M-12-63