43212 90 4rSAA'1N60JOSE Yr' BUILDING DEPARTMENT
APPLICATION/ FOR BUILDING PERMIT
Tract No:�� .'If.�.4.. Lot Nci:'�_e-----
Datel.1_/_ -7-------- - ------------------ 19. .3 Permit No. M—-------------
Application is hereby made for a permit f,:4�_� --------------------------------------------------
a...__.../.story, Typ . ....a��'o ---------- IN**----- -- ---- ....... ....... - -- -------. Building
7 74?�5 �ri 4_�p Use o -------------
at -;F-3-------------z�_ --------
C C -----t--------- --
to be occupied only as --- -- _ ... ................... arking Space ----Z---------------
in accordance with Pla s, Specifica ion a f filed herewith.
0 11
Estimated Value of III provernen ---- --- ---------------- -- -
It is hereby agreed that he req i ments f the an Jose Building and Zoning Ordinances*and all other
laws applicable to the const . n, location an is u a of buildings within the City of San Jose, will be
complied with.
I certify that in the performance of the work r which this permit sued I 'h 11 f employ any per-
son in any m er o as �
f violate the workmen's ompensation laws of .lif.rn;a
'
Co t actor
ByZ,.nt . .........Address ------------ --- --------- --- ------
Form 280-1 1
RECORD OF INSPECTION
Foundation .7.'3-G � tw Framev�ti---
Stucco .......................... -------- ................. Finish .?-l-7-G.-`�---- .eLP..^......................