32986 A
Clfi`bF SANS, ig""" BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 00
Date-77-7
19--- Permit No.
Application is hereby made for a p rmif to ................ . -------------------
a-ld- ory, Type--Yom------------- -- ----------- -----------14-1 r------6AyL_ Building
at /_Yj------- - - ---- ----- w o 6 0
to be occupied only as -------------_----
in accordance with Plans, Specifiii n I Wif h.
Estimated Value of Improvements, $ -A-4ayao- 0__..._---
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
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 �iolafe the workmen's compensation laws of California.
Owner7� -_ O-------ill---4�_a'Address
By
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C.
rector, d nt W
Form 280.1
RECORD OF INSPECTION
Foundation Frame 16/1- ---4--------
st4,co ------------------------------------------------- ------------- Finish,