31276 Lit.
CITY OF SAN JOSE BUILDING DEPARTMENT
A)PPLICATION FOR -BUILDING , PERM.IT
Date... 19,37 P rmif No..-2-t-;3---7AA............
1 permit to----
Applic is mad for z -------- --- ----------------------------------------------------
a----------/-----story, Type------ ---x-- ---- -- - --- .............................Building
at...................................1?!�........... . ------- --- ------ ................................
to be occupied only as..... -- --- ---- -- -------- ..........................
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $---/
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It is hereby agreed that the requirements of fZSan 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 com-
plied 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 become subject to the workmen's compensation laws of Calif7 —ornia.
xv
Owner
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-....Address...------------------4y--------------------------- N
By----------ACKntra�tor, Agent
Form 2,t-42 Grim - Loma Verde
RECORD OF INSPECTION
Foundation.........
....................................
Stucco--------- .......