35329 1135 k6htWi5dl Lor J3
CITY OF SAWN JOSE �7 r.v j c r�u•: C BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
I'
Date------------'...................................... 19.41�.... Permit No.5f--------------------
Application is hereby made for a permit to ----- `` o
a------I----- story, Type..;�...........
E. � - ---- ..... --------------....... Building
at -----1_z_n!.'`r--------K-n..ft-r-------------------------
to
- --------- --to be occupied only as .1......r
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $.--..1-0-0_00
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 as to violate the workmen's compensation laws of California.
/L.:.�,f..:..�-f r,ar o.,-i .C,rrc. Z,vc. Address -------------------------------------------UG , So . H •� �r' 9
Owner ....------- - ... --- ------------....
� Sa N _ o-r.
..- .
...........Address - ----
g ____ - -
Contracto gent
Form 280-1
RECORD OF INSPECTION
-
Foundation -------2 - e'"
-------- ----------- ............ ---------- Frame ----
-- -------------------------------------------------------
Stucco ---------------