32339 CITY'OFSAN JOSE' "' " "' �— BUILDING 'DEPARTMENT
LC)TPPLICATION FOR BUILDING PERMIT
y DEC 2.... 195....r� Permit No.3�✓'.s3 .
Date.... ........ .. ..... ..........
Application is hereby made for a permit to------.....D�ld
a........Q.4Q--..story, Type.-------- ..4ea dQIIC6. ... ... __ ......... .............Building
1 ja San Jowell Calif.
at......Lot' NOe & .... -...._ -- ----------------------------------------------
-
be occupied only as....._.CII0 afnil flW611ing & f3aaf3®
���--�-- -�------fes_
in accordance with Plans, $pecificafions an Plot-plan Iled her 6!"
s- �;•-.
PLAN no.
Estimated Value of Improvements, $...1.?..Q�Q..-.....
It is heieby 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 com-
plied with.
I certify Chet in the performance of the work for which this permit is issued I shall not employ any per
in any manner so es to b�ecaao^m�e subject to the workmen's compan�iioniawsofCCeli ornnO. RQBl
Owner.......Fei. ..... .0WAR W'iG��"'�Ce Address... ...... ..... . ... . .... .... ....._-- ..
Palo Alto Cc+lifor a
A rJ Address..... ...... ...... ............. *------------
*.- -----
By.... .._... ...... ... ... . ... r ...
ContArecioL Agens Agent
�2
Form 180-1 e e
RECORD'OF' INSPECTION
.
Found6}ion.--..... --
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-. a.-•'.......Finish:`. .... ------' --�'---0'
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