34585I
a
618140449ARA JOSE �7 BUILDING DEPARTMENT
J_
APPLICATION FOR BUILDING PERMIT
DateA_ ' -2 ._s . . ............... 19.<(�_. Permit No . ..... 3_ 9`�4? -5- ......
-- ----------- -------- ...
�pprication is tt�_, a for a permit ----------------_----- _ ...... I ....................................
a. .... Z_ ---- story, Type..... � .... . .... A4�
-- -- ------------------------ Building
a+X...
to be occupied only as
.................
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements,
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 -
,on in anymanna?so asfa violate the workmen's compensation laws of California.,
By
ontras;Z';.nt
Form 280-1 r
WAr
11
I