42030 AM OF SAN Jost .. BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract. No. .................... Lot No. --------------------
-�
Date.... ........ I. .............I...1 ......... .
Application is hereb44��Or!40 nr�pfk� -Permit N
--- - ......TR-.o t --------
----- ............ .
a------------�__story, Type............... V --— -
--------- ------------ Building
Use Zone ......
at .......9 4-8------ Occupancy -- -- ---01—
to be occupied only as ---- Parking Space ------
fil herewith.
in accordance with Plans, Specifications en j 'Plof-plan ted
Estimated Value of Improvements, $__9 6., ------- -------
It is hereby agreed that the requirement, 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 San Jose, will be
complied with. 11 not employ any per-
soncertify that in the perfcrmance of the work for which this permit is issued I she
son in any manner so as to violate the workmen's compensation laws of California.
-
Owner
'A
AAC .. ....... ...Address X-e -- ----
.....Address
tw
Form 2130-1940k*�t{�ov46 Edwai ----
dlqYehl
RECORD OF INSPECTION
Foundation -..- ------- ----------- ----------- Frame ... -- ----------------------------
Stucco
----::.-----'.:-------Stucco ....----�`' .............................. ....-. ...... Finish --- --
------- ---.....-..-----------.. __.--------