31286 888 BlAzItgwo6d
CITY OF SAN JOSE Lot #33 BUILDING I DEPARTMENT
APPLICATION FOR BUILDING (PERMIT ,/'c
Date------------- --77—- 0-A.-)---------!!!-.-19547..... Permit No.... 2T.�................
Application is hereby made for a permit to.......... ?. ...............:..........._.--.....--..
a-----U-1---story, Ty
a9.1.. ../_-... ........-:.....-----................----..
I.. . - -------- --- Building
at.......------- --- ...... - -11.......................................
IL
- ------------------
to be occupied only as-- -- --- ---- ------ -- - -4 --
in accordance with Plans tions a PI -pl f I dehere if h
Estimated Value of
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 com-
plied 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 become subject to the workmen's compensation laws of California.
(Owner--.
.. ...........*..................Ad
dress----- -112Al .9-aRtno-Vt4.y...
.............
Address----- Calif.____________________BY:; Ci-tr--1;+-nt
Form
2801m8 Blasi 2-22 51 WheatleyLonst .
RECORD OF INSPECTION
--- ----- - ----------- ------ ----- -----
F6undation.................................. ...... ........Fra.. .A / ef�....
Stucco-................
.................................................Finish.---
336
2-