37594 3-11 §
CiTyi8PSW36kii 1BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Dafe__/�.7_3 19--- Permit NA74-R31................
Application is hereby made for a permit to ------------------------------------------------
a--------/--------story, Type--- Building
-----------------
at
to be occupied only as
in accordance with Plans, Specifications an la file her
Estimated Value of Improvements, $1q) --------------
It is 'hereby agreed that the requirement, of the San Jos. Building and Z!nirg 0 dinances 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 workmen's compensation laws of California.
Owner -LT911W -------..Address ----------------------------------------------------------------
.. ...........
_577:
Address -----------------------------------------!....................
acMtV0At)r Hill-S
FBcy280-I 1;6ja- -
RECORDOFINSPECTION!
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