45202 1071 NdvembILAN K
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. 3..ro:3.4----- Lot No. -7-------------- _
Date........ .(....... .... -' ........, 19.�P.4.. Permit No..... ..: ZD-Z/.
Application is hereby made for a permit to BV 1 L .....
e......�..----story, TYPe--- ----y^�£�.. ..s"" ... ........
Building
Use Zone ...- .-..
oil e,.£M f n v n/
at .......... �fY/ FOccupancy
to be occupied only as ....I - SAM. ... Parking Space --------:v.
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $....12i.. .0*P-------------
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 inthe performance 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.
OwOt �l
Jr__Nv lZ... ..AS505.:.Address � 6 -. 5P. l-lfWAV.-..9-------
Con
Bye --------------------------------------
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------------------------------------- .... - ' .....
.... .��-1�:-�' ......Address ?� p
Form"280-1
RECORD OF INSPECTION
Foundation y' .... ........... rame
Stucco ---------------------------- ------------------------------ Finish .2