43790 7915 Belknap
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. .3-981 Lot No. -----3-------------------------
Date--------------- -------------3Aq......... 19_--- '.Permit No. ---�5_7.50_
Application is her y made f rmi to --construct
ov-------- -- -- -- ----- --
aory, Ty�.o .... ... .... ..... ..... .............. ........................... ..?..... Building
1115 4P _X Use Zone Je/-66....
a Ve. ....... ..
at Belknap-.
rA — Occupancy .........7—---------
to be occupied only /... .. ......... -- --- e Wing Space ........2-----------
as
S
in accordance with 55-n s, ecifications and Plof-plan filed erewith.
Estimated Value of Improvements, $...16,.0.0.0....:._.._....---
It is hereby agreed that the requirements of the San Jose Building and Zonir�gQ —
r8/iran6i�16all 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 as to violate the workman's compensation laws of California.
.. . .. ..
Owner Brooffield Corp. ...........Address 3150-20th.. ..k.v-e.........S-.-F..-..
can ---*-----------on------Cor}----- ----------ion
gne _,,Co Iruc -131 ---San---Bruno
----Address P.X_._Box 0
ByAtract...-t S4 V_�O�t�
Form 280-1 William A. Plant
'/ RECORD OF INSPECTION
1
Foundation y'3 GZ.. �! "�h......, Frame
Stucco ._.------------------:------------......_..-___Finish .../�— //-6 1t.Glsx' ��