32986 C!1418F SAN�S�ii'"'A -7 -' BUILDING DEPARTMENT
APPLICATION, FOR BUILDING PERMIT
Date----- ;. .... - -----Anp------- Permit -------
Application is hereby I made for a permit to ------- ..........---------------------------------------------------
---------------------- -le,--------------
a orY, Type-- ------------- ...... Building
T7 ____C9A
-1-VTz I
at ------ ------- --- -- -
to be occupied only as ---------------------------------
in accordance with Plans, Specificati�na P -plane
Estimated Value of Improvements, $--- -------------
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 building's 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 mannerrso as to violafe the workman's compensation laws of California.
Owner- _4-4,ax� Jx-, Address V//,;Zl
------------------ ---------------------- . ...................
By - ----------------Address,�_ZI-V--------------.................
q;�,eicftr, Age
Form 280-1
RECORD OF INSPECTION
Foundation
may............ Frame
---------------------- ----------------------------- ---------- Finish ..7/S
..........