353611066 C6L6IYitiL1�
CITY OF SyAN JOSE
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date ---- ?— /� . 19------.... Permit No. �_Y....3---
Ap lication is hereby m r a permit +oG:J..L_-----.------------------- ------------------
T/ rtr,r., e - / r...--.. IJ.%...L.----------- Building
a+
S 40/07
to be occupied only as ------ /
in accordance with Plans, Specifications and Pot-ppl n itlE5 herew
Estimated Value of improvements,
$ .. '..---�-ham'
It is hereby agreed that the requirement of the Sen Jose Building and Zoning Ordinances and all other
laws applicable to this construction, Iace ti end 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.lG,F,......✓/.r/�f?R.�jc.L...Address Z551a.--e.D-.pR.-----sc--..
By ---------- ---------------------------------------- -----------
Addresk - ....------ - ..
Forrri'280-1 1066eftUlobkAyne iiIIS Manuel ViLl.ar-eat
RECORD OF INSPECTION
Foundation ---- -t�'K
- -- ----- --- -- .... Frame ----- ----- ------------ --- --- -
Stucco ------ -------------
--------------------- - : --------------- ---- - - ----- --- -- ---- --- (i
3 - 'L' -.t' -G - ez'tp—