35092 )�44 Phtt6h t6ht
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
y
Date------�-�--�----------------------------- 19-�!-..... Permit No.-_�.�.1.cc--o-----..�..�---
Application is 'hereby made for a permit to ------- �—
story, Type �-- -- ---
: .
$ - ..41- T . --------- Building
to be occupied only as -.------
l.. � ,�ew ���
in accordance with Plans, Specifications and Plot-plan iled her
Estimated Value of Improvements, $----�.�2 y.-.3-C?.-o--.
It is hereby agreed the+ 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 Joie, will be
complied with.
I certify the+ in the performance of the work f r which this permit is issued I shall not employ any per-
son in any manner so as to a iol the workma s compensation
Owne / -------------
B
'a�wsyfs6for
-.. .n�--:h�\ ---5(n
-Address _
BAddress .........................
. \\
ConPactor. Agent Manuel Da, a7
Form 280-1 7544 aLLett Leaf _ _
- --
RECORD OF INSPECTION
Foundation ......../- 2,-
------------------- Frame ----
----------- ---------- --------------------------------------------
Stucco ------------------
--------------------------------