32986 CIIWIOF SAN�JO59"""A TBUILDING DEPARTMENT'
APPLICATION FOR BUILDING PERMIT 13 � .
Date.. ---------- 19_4!5� Permit No. ------
Application is hereby made for a p if +o -------------------------------------------
-----------
a4- - ----- ry, Typ;12�------------------------------ ---- -------------4--------------------------------------- Building
at
j , r7o
at . ... ........ q
to be occupied only as
in accordance with Plans, Specificat P�41166
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 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.
Owne���A--- ----------&Address _�zz)z. -, IA,;,
;`Ln- ------------- ------------7
Address ../-{...-`^'.^:.._-.------------------
-- -......By .. _6rraf. , Age
Form
280.1
or 280.1
RECORD OF INSPECTION
Foundation --- Frame
-------------------------------- ------ Finish -2=P.40----