3369601.
$WI�ikbll JOSE BUILDING' DEPARTMENT
APPLICATION FOR BUILDING PERMIT
3 36 F
. ...................
Date..................... I 19_6.a. Permit No.----
A k pplicafion is hereby made for a permit to Aa,c11 ..............................................
a --------- story, Type... _t
....... 3r --- ------- j�_—
-----fit.......------------------ --- ---------------- Building
at _Zio ..�4 -------- - ------
to be occupied only as
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements, $ ----- F0.100-1-0.0 - -----
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 per.
son in any manner so as
to
violate the workman's compensation laws of California.
Owner Address ... /1fZ,4.7_2eV ------
By'......,,...F,-......Address
'
?
form 280.1 &009Lffti�?ant 57xta1?e;6. Adams
RECORD OF INSPECTION
Foundation .-7:n-l.*AA ---- d.Z� Frame
Stucco ---------------------- .............. I --------------------------- Finish
S-3