46240 7626 Vest 014,9,1` )r- 4-
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No...3I� ....Lot No...1.3................
Date----------'----... .................... I 9A�E.... PermitQ .............
1
Application is hereby made for1� ermif to .... --------------------------------*------------------
/
.,00 ........................... Building
a...........1.....story, Type._Y. �
.... Use Zone__/-::�..............
at
zt- 0
to be occupied only as Efi..MJAV.0�6 ace.---- ...............
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of improvements, $...z .........
It is hereby agreed that 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 person in
any manner so as to violate the workmen's compensation laws of California.
Owner--__W.-'j:-"ttHTE4t..&..ASSQCIAIESItiC--------Address------------------------------------------------------------------
Contract or 1065 SOUTH HIGHWAY #9
ByAgent to.RN.IA.................Address.=.............------------------------------------------------
RECORD OF INSPECTION
Foundafion-Z..—..?._?
Frame ---------------------------------- .......
. .... . - f�.
sfucco......................................
....... 4--.. .Finiish�/"Oreprinle ...................
11107-
F-m 290.1-IOM-12-63