32986CIWY F SAN�16iP"' BUILDING DEPARTMENT
APPLI2C�ATION FOR BUILDING PERMIT '1 , 5 .
Date............. --- 1P ......... 19.--- 49 Permit_ N ----- —G?.. -------
Applica ion is hereby made for a perm. to ------------------
............. ory, Ty p .- ' --- --- - - - - ----- ----- -- '--' ----------'............_. Building
�t��2000 D2
to be occupied only as ....... ...... / m -
in accordance with Pl�s, ecification �-p�n/i�yca�he�ith.
Estimated Value of I I/ rov enfs, ..... .�.�I L> _o-------------
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 o as t vioI to the workme��n''sys__compensation.laws of California.�p
Owner' f�✓, C�fG 11��y��(jR�ntx�/
....--- - ' ---- '---' ...........Address.....-- -'r ----'- - --- -'- - '/.
By ---- — .Addres --
Form-
Form 280-1 /
RECORQ OF INSPECTION
Fo\unda+ion _7.. -.L.- --fP.Q.rLr./t{:+:�A--- Frame
5 ".
co ....---------------------------"-------'-`--------------- Finish
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