32339 CITY OF SAN0y SE BUILDING DEPARTMENT
L°T.LLAPPLICATION FOR BUILDING PERMIT
DEC 2 .
Permit No...
Date--- .. ----- ......... "195....559 2. ... .....-
Application is hereby made for a permit to-----------btklld
a------OII@....story. T pe..-----Y---i:@OiQ@.n00----......----------------------------------------------------Building
at..... Noo 8 FalrCrove.._a..Traot..%Ioe--.23-�..-yaa._Jos@, Ca11Ya
to be occupied only asZ Q �r4Qo......................................
in accordance with Plans, Specifications n Plot-pla Ie� yp w
���ivJ`�P�
Estimated Value of Improvements, ............. .
It is hereby agreed that the requirements of the San Jose Building-and Zoninq Ordinances and all other
laws applicable to the rronstruction, Iota}ion, and use of buildings within the City of San Jose, will be com-
plied with.
I certify that in the performance of the work for which this,permit is issued I shell not employ any per-
son in any manner so is to become subject to the workmen's compensation laws of California.
;IC '' 2 110111,4110's 111M Address......_2001...+CC=ino :coal
Owner.----
n Palo Altoe CnliYornia
�dx/+ �` �. Address.:..:.... --.o .. ..... i-------------------
By.. i
Contractor, Agen# � W
Form 180-1 As. Le 6HAP -
RECORD OF INSPECT ION
211711,
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