43790 1181 Yorkshire
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.......32$1....Lot No........ -7p
Date.................................. V10........... 19...64.... Permit No..�5I..l.... -
onst
Application is hereby made for a permit to ..........c......... t.ruct................................. ...
ry. Type V / .11.7�� /�/-
a---...1----..sto 7 e........-------....._-----^-"-----•----.._----'•`------....--------------------------- Building
11$1 Yorkshire Drive . Use Zone;..-�: �?--.
i
at -------......_--------------
......----------------------------
Odeuppaney,.:.._. ....----.
to be occupied only as .-single...fami.1Y. residenCB Parkingg Pa..... .... .........
in accordance with Plans, Specifications and Plof-plan filed herewith.
p
Estimated Value of Improvements, $..1$......1000................................
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances an nl o er 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 as to violate the workmen's compensation laws of California.
Broo$field Corp . 3150-2�th Ave. , S.F.
Owner.--------. -------- .... -........ Address - .............. .........
Con frac�?r Stone on/Qon ruction
ByAgentf{ rn`- ��- ----- Address-Y.t0..._Box__131�--.San__Bruno
�+l l
' Z�iam A". an'E - ---------..
RECORD OF INSPECTION
Foundation-
........................
sfucco............... ........................----.....Finish.
Form 280.1—IOM-12-63