35028 7577 14A2th&x`Wd 1�7
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date.-... . .. 0 --------:....- 19- ///fermi+ No... 1- ------------
Ap ication is hereby made f r a permit to .---46?..d........................_------------
a.------- -. stor T e��.�i._..... ---.fQ� - --�� ---.._..-"'---............ Building
Y YP
i .'-"
a+ .---..7J. Z.?.._lie. - ...
to be occupied only as -
--� :-1-.
in accordance with Plans, Specification9lof- r ' wsi�
Estimated Value of Improvements, $- -------a-d c.................
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.
Owner -Z_�.Pe-e[a' _l..--------I.Addresss ...�P...
4.
By / -----`./..Address 1 - -'
Fnrm 7X0-1
7577° c°ft°t'ir^TeWOd Ge ge Beard
/ RECORD OF INSPECTION
Foundation ---_` -/ 1' QiL Frame - %.--------------------------------------------------------
Stucco
���-'{�1 - -
Stucco Fin - �`��G/�—
S53 7�
o d N S
yo77 )