42420 1974
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION' FOR BUILDINGIERMIT
�7yj
'd... ..............
Tract No. ---------
Date ....... ..........................1 194 P it No. -------------
02— .. - I
Application is hereby de for per o'.- ----
a....
- - - -------- -
a ----------
------- uilding
a....../-----.story, I. .. ........ ...... -------
at ;7 15" e Use Zone
. ... .. ---------- --- ------- -
/. .. ............... ......... 1�70ccupancy ..........Z7--------
.... ... 471-
to be occupied only as ----.`.7---------------------- Parking Space ---------
in accordance with Plans,* Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $_ - -- '/---- -----*
I It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, lo,cafion, 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 i shall not employ any per-
sont �l workmen's compensation laws f California
�Vl:1�6 the wor of
104 0 ...
----Address Al.)..41 -- ------------ ............... -----------
......... .................
�W
.... .............. .
---Address ...........
------------------
Form 280-1
RECORD OF INSPECTION
Foundation �z-"Y.�t.-?. ,��firy-�� Frame /./12.-.3-rt.�_.�� G °i.-............
Stucco --- ----------- -----:--------------------------inis6 -------...---