42420 (2) �11410112 SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDIN PERMIT
Tract NoP�Y 7 Lot No. -7------------
Date-------
frl �2.._l 37
.......................... 19.... Permit o. ........
ica,
'cir
Appicaflon is hereby_mAe for a - -
---------------------------------------------------- --------- -- -
permit to—,
a------/----story, 17 ��_ /x/v------------------------ Building
at --- ... .... . .....
........ .. ----
j 6C,40*W(3Wnone cy ........T--------
to be occupied only a�,/ ....
.. ....—7------------- Parking Space,. ........
in accordance with Plans, Specifications and Plot-plan filed with.
Estimated Value of Improvements, $,1.1----------------------m.-...../.........
It is hereby agreed that the requirements 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.
I certify that in the perfcrnrence of the work for which this permit is Issued I shell note loy any per-
son in any tu ner o as A`6 v;olafe !�e workmen's compensation laws of Califcrnit
o 1z"-------
B ssj ....... .. ....
Form 280-1 ......Address 6:�z.. /.... ...
RECORD OF INSPECTION
Foundation ._ _:. ..Q:...tr..../3...1....N..!... ....... Fr�ame
s+uoeo --........................_...._.........-------------- F;nish
s. {