43418 CITY OF U1416.10ASSEl"ap BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. .3281...... Lot No. ._23-----------
.1-
/
Date-- ...1,2-27---- ------- ------ ------------ 19---6.3. : 1_ Permit No-1940)
-A...�__ .W-------------
Application is hereby made for a permit to ./....construct.-------- ------ --- -- ----------
a Building
- ----- --use Zone -------
at ..12104 0 :t..................
,Ory; WY/, Occupanc
ncey -----L-------------
to be occupied orjy as.....Reside2-
- - - - - --------------- Parking Space ------ --------------
in accordance Specif: 0 0 erewith.
Estimated Valu:eilotrlo nrenTs, . ... ... ...i)----------------------
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 Son Jose, will be
complied with.
I certify that in the p e rfcrmance of the work for which this permit is issued I shall not employ any per.
son in any manner so as to violate the workmen's compensation laws of California.
0 Stoneson. co ruction Address ------PX. E�ox 131,
.. ... ........ ..
owner ( .... .. --- .................................
Contractor Address --- ...Brimo
---------------------------
... --------------------
ByAgent -ra
William A. Plant, Supt.
Form 280-1
RECORD
OF INSPECTION
Foundation .'��o..`.��.. -...000(QU`'H'. Frame
Stucco ...................... ---....--------- Finish/ 9...- - . -. ------- --
.-- -- - :