35179 1 19 I 2htwbb� L,r -7
CITY OF SAN JOSE , -L, <-;;0, C . BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date.........../....1:3 M`./...... Permit No..3�...�. .(
Application ,is hereby made for a permit to ----!g_`...`. — ..
.`.
.. ................ ...........
a------ ------.story, Type.Z--------nYt
. .. ... 152-/ ------------------------------ Building
at ..._L_L1.4- ---��-`-"--r---------------- : /✓/✓ ��
to be occupied only as .�------
in
__in accordance with Plans, Specifications .and Plot-plan filed herewith.
Estimated Value of Improvements, $._!...o e o o ---------------
It is hereby agreed the+ 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 Joie, will be
complied with.
1 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�:3--/I c Nrca v Al ,.. Z,vc= Address . _...--r..9. .....-..
SJ N...... c
By Contractor,'Agent
Form 280-1
RECORD OF INSPECTION
Foundation ...�g/ — ... — -V—�
- ------------------ --------- Frame -------/2
stucco ----------------
-------------------------------------------
----------
----------------
13,