35329 11ii((,,�� Lo7 / 4
CIY'Y &IINd"1OSE Pyaar L etc a. C BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT �j
Date...................-------------------------_-, 19.. Permit No.--✓?..✓�,3 ../.. -
Application is hereby madee f`or`a it to ._ -----------I----
a.....[............story, Type.z------tJ-- { ................................... Building
to be occupied only as -------------------� ......-- �
in accordance with Plans. Specifications and Plof-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-
son in any manner so as to violate the workmen's compensation laws of California.
Owner L ` ...Address SHi w r-9..............
B J Address S - To�c
BY .... - ........................................
Coniracto Agent
Form 280-1 -
RECORD OF INSPECTION
Foundation ----
- -- ----------- ----------- F.......rame
-- ------ -- - -- --------- --------------- --------------
-------------------------
Stucco ......------- ----------------------
v .3-106—e,ae