36160CITY" OF 3 , </C '`�pLA/L K BUILDING DEPARTMENT
APPLICATION BUILDING PERMIT
36
Date - a--�------------- 19.1/ �j permit No. .._..-.. 6
Appplication is hereby mad/e�ff�'}r a permit to /.sl/J_..'----------------------------------------------_--
a....---/"""----storY, TYPe---(�c-----,-'S'6----- -----------.....-`....----------.Building
j' .. n r s kl "%
at --/-23R110 ----- /.Xun'2!C
to be0
occu ied only as
in accordance with Plans, Specific
Estimated Value of Improvements,
'okon nd ?Yo -plf" an fi' leMrrewiti
a//�o------------
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 a nnor o as to violate the workmen's compensation/laws of Cal' ornia..,
.Address .�/v.%" fit/
_... -'-
B ......:=e.i�N..�. C....2' -`7 -----------------Address .........L--...t------Y -----------------------------
Con#raeToq Agan}
Form 280.1
RECORD OF INSPECTION
Foundation 6 ------ < ----- Frame
............
Stucco -?'---(/Finish