35430 X134 Kentwood 4-c r -A e
CITY OF SAN JOSE )p 14 A -r. a f.u D BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date.--...... .... ............... Permit No......
3 -------------------------
Application
0Application is hereby made for a permit to .-----..'.....`.'-
° ---------story, TYPe.. -......-.R. _. -'--------
---
--1_V.------------- --------------- Building
3r/ K�rorU ccv / c
l� 4
to be occupied only as .1.'.-- --------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $... o o c •
It is hereby agreed the+ the requirements of the San 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.
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 se as to violate the workmen's compensation laws of California.
Owner
R:T 4 r s '4.`'12"C - Address �.°: wa� 9
/ SAN j isec
B .....Address -- ....
y✓....----✓ Contractoh�Agenf
Form 280-1 -
RECORD OF INSPECTION
Foundafion ........
--- ------------- ----------- Frame -------
- -
---------------------------
sfucco
.2 o.