46372904 it661'h8AU
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 5V&Z-
Date.3.1.Tract No.' --------------......Lot No ........................... 9.kj�zz .........
� Permit No....
A D 6 -
Application is hereby maje for6a _LP. a ... k,.4
p er rn i f o ............
a....... ......... story, Type.... .7A RP,,Vq T— Building
......................
5'fR .)Jse Zone 2k
at
ancy ........... r .........
.... rp
to be occupied only as ;Kftr� ace ------- ---------------
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements,f) ....................
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,,_q to violate the workman's compensation laws of California.
Owner..... - -- -----
Conf rector
ByAgent .... : ............................ ------------------------------
, 7874 Robindell Eula M. Sullivan
RECORD OF INSPECTION
2-- 2-,7
Form 280-1—IOM-1263