NO PERMIT NUMBER (4) -RECORD OF INSPECTION
Foundation .. Y" G Frame ..............
Stucco ----_----------------- - Finish .. /��%� S FCO.L /
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1L45 ke& iWbdd t_ o r i7
CITY OF SAN JOSE ',ye,v T c,/-a". E I BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
2
Date - ....- - - 19 L..- Permit
Application is hereby made for a permit to ...... r ` a
a------I---------story, type----------------- �-
--------------------------------------------
to
--------------- Building
at y / Yf ��e .ter wc
....................... . .......
be occupied only as .L..-r..d-- 'C --..__-
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $....L.c o o c
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 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 lz•?:- I I U a7 c w 4-�A,•--- -------------- 77a,
------Address
j- --- -�-r' ------ -
By v'...... Tote
--------
- ...............Address - --------------------------------
Contractor, gen#
Form 280-1 �—