37463 I113 H011Vh6 I --r—
CITY OF SAN JOSE2a ' ':7— / BUILDING DEPARTMENT
1r
APPLICATION
,., T& BUILDING PERMIT
Date l91, Permit No.3.-1-7-.zz--..-K2-------------
4�-o�-- ---------------------------- ----------
Application is hereby me for a permit t ------------------ --
-- ------- ------------------------------------- -
4d
a---------/-----story, Typ —5-1, - Building
-- ------ - ----- --------------- ----------- -------------------------------
01.
3z� - - - ...- 7- r
at ---- -------- ---- -------
to be occupied only as----------------7--------
in accordance with Plans, Specificafic,ns?n"i5f-pl�n:�L�WdL,,�rWii4�/�
Estimated Value of Improvements, ---------5..... .......)--------
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 ms to violate the workmen's compensation laws f Califo 'a1...-----``.:,1
,
:-jr
Aciclress,,<�... . ......e_-4-6------ --------------
..............
L....'.............Aciclress.. --------------------------
7--------------
Contra r, Agent �
f.rm 280.1
RECORD OF INSPECTION
Foqunaffiog /0 —3 1 .6 " ,
-- - -- -- ------- rame -----
ish 0�,
Stucco ----< 4-6 FinI h 2-
-------------------------------------------- -- iin 3s ---- -------------------------
U