35430 ii'1 k6htw 6d or -2 9
CITY OF SAN JOSE f r4' � L =r C BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date........ZZ ..................._-, 19.-G / Permit No.... 3 0
Application is hereby made for a permit to ---._g. .'.A`.. -n------------------------------------------- --
a-----1 .......story, Type.. Z.--------! ' -'01 . ....`-& -----_---------------------- Building
at -----
to be occupied only as ..L.-'...�'.i0..:"..' ---
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $----._4_0 0 0 ----------
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location;land use of buildings within the City of San Joie, 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 workman's compensation laws of California.
Owner A reo.--Fire_.......Address /OG6 U_O-__N/-u`'Y.....3_._____..
e GC�-----_-..Address .. �u '' `
Y�..... ....
3 -
Cont -racto, Agent
Form 280.1
RECORD OF INSPECTION
Foundation ----------S.-. 3 61
-------------------------------------- Frame ---------
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Stucco ----------------------------- - --------------------------�Finish
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