42758 74 Belknap Drive
CI OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
3428 1 Plan FR-21
Tract No. .................... Lot No. --------.--.___. L
March 27, 19..63... Permit No.7.2.7. ........
Date.......................................................
Application is hereby made for a permit +obuild
----------------------------------7 --------------
1 n n..r .... .e e h ache ge. _ ------ Building
a----------...story, Pe- - '
r.
7894 Bel a ve. Use Zone .. ..9..b.......
a+ ... .................... - - - .._.......
o e family residence Occupancy -------2............
to be occupied only as ..........................._......... Parking Space .._ 2-----.....-
in accordance with Plaa s, Sp ca+ions a PI p file r with.
Estimated Value of Im a enh, $.._. . ..... ............ /Jr�-/n
It is hereby agreed that the requirements of the San Jose Building*andZ' oning 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 per-
son in any manner so es fo violate he workmen's compensation laws of California.
AME GU HOMES 2460 Park Blvd., Palo Alto
Owner -'-- -Address .................
-----------
�--------. ._.. .- ------- �---.._.....------- - sacrte as atiove
contractor
ByAy.at--- ------ -- "------...------Address -------------------------------------------------------------
J. Mathot
Form 280.1
RECORD OF INSPECTION
Foundation
............ Frame
Stucco ......................-----....................... .......t. FwA