32986 C14-'OF SAN'S�SP"" BUILDING DEPARTMENT
APPLICATION FOR BUILDING . PERMIT
Date-- .......... 19_! P. Permit No.------ ------
Applic tionis hereby made for a p rmit to ......i�� --------------------
"y' Type ---- - ------ ---------- - .4 7-7- — ---------- Building
.......... --- --- -- - ------ -------- -
to be occupied only as -------- -----_-----_----------
in accordance with Plans, Specifi t
72,0iv an.. in iled herewith.
P 0 91 ��
Estimated Value of lmprovemen(/ 7 D --- ----
.../4h
It is hereby agreed that the requirements of the San Jose Build/ngand 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 mannir so as o violate the workmen's compensation laws of California.
Owner W-- --------------- -------- ----------------- d d'r a s
-----------------------
By - ---- ---------- ---- ------------------ --- ------- ............Address
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C ntractor, A
Form 280-1
RECORD OF INSPECTION
Foundation '�4
-"'---
StAco .- ------------------------------------------------------- Finish .7_-T--(p.- ---N-:---.Src ru[!`.4-- ------..