33364 7186 tftA6 Way
CITY OF SAN JOSE Z_ BUILDING DEPARTMENT
APPLICATION FOR, BUILDING PERMIT
Permit No..----3 ---------
Application is hereby made for a permit to ----L3_C_._P-------------_------------------------------ -
I--------I----- --story, Type: e� �2 &R/6-111W--------01_*�A ------ Building
at ---77---- -0&------------- -
to be occupied only as ._./- --... /'� '�v�/—
in
---
in accordance with Plans, Specifications and Plot-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 an compensation laws of California.
0 V -.Address ---------------
wn r
By -Address ---------w6a_loa-- - - -------
Contractor, Agent
Form 280-1 1 1
RECORD OF INSPECTION
Foundation G_. .--G� A: tic.--_ Frame
-- -------' ------ n it A.y`djt
Stucco .---------------------------------------------------- Finish
- - ------ --------------------------
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