33364C14�6 tliA6 Way
OF SAN JOSE . .40 7- BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT F 0'(
Date..--'-'-.. ----------------------- 19...x'..0 Permit No. 6-_�l . .......
Application is hereby made for a permit to ........ C_ D -------------------
-- -----------------------------------
- -------- 7 ---- 6,-) —Building
a --------- I ------- story, Type_LL -- - ---- -
at ---7....7---7 — --------- 16001
to be occupied only as 71-- ee e�
... jr!� 44
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements, $---1_3.{..5..00------------
It
---1_34_5-P0------------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 r a, to Violet jh;,workmen'; compensation laws of California.
ownerow ...... ...... �Ad dress -- ----- ----
.... ... . ..
Ad dress
By . . ............ . . ........ '74 ........ U
iz
Contractor. Agent
Form 280-1
Foundation
Stucco --------------------
RECORD OF INSPECTION
- le. -- &, C
--- -- - -GOAFrame
----------- I ----------------------- --- -- Finish