32503 19301 Bollin�pr
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date _---------------------- --------------- Permit No.____3_%.S__03---------
Application is hereby made for a permit to---- --------------------------------------------------
a-------- -t.--------story.-- e- ------ ------- --
----ScN_Ojoj-------------Building
at---J_CF73 0.....................................................
to be occupied only as . -------------------------------------------------- -
in accordance with Plans, Specifications d Plot-plan a Is ewitll.t
Estimated Value of Improvements. $... B-155--o-W
B-155--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 com-
plied with.
, 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 �be act o he workmen's co pansation laws of California
(-Of. Su
.ov� -- ----a. ......(OAcrdrez
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.7. ......... .............
By,._C1J,k-'e414-W- . .F
----------------------AVress-.L --- --------
C f for Agent
For. xao-fi9r Luthern Church
(.6
RECORD OF INSPECTION
oundation.........................................
- Frame-:5i�........................................................
Sfucco.--3----------- �=----�---------....-_Finish-----------................
-----------------.._- --
t' - 503 ? $ - 3S92S