320667852 - ' Lily Lt I - .. 14AIrt, 41�10
CITY OF SAN JOSE 411• le-"� BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date---..... - ------------------------ 195. Permit No.,!��.o.66 .............
Applica ion is hereby made for a permit to ---..f
......................... Building
............. All ----------------------------------------------
a ------------ ; .... story, Type. ........
lio ------------ r -----
at ................... ....... -_-_--_-- LY kjW
tobe occupied only as. ----- b4ai- �.._ ---------------------------------------------------------- ----------------------
in accordance with Plans, Specifications and Plot -plan filed here—with.
Estimated Value of Improvements, $ ... lam
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 cam -
plied with.
, 8 '
certify that in the performance of the work for which this permit is issued. I shall no} employ any par-
son in ny.7 so as to become subiect f th orkman's compensation la f C I*fo nia.
Ownert Address---[ - --- ----- .......
I — '/;Z' 10 /2
Contractor. Agent
Farm 280-1
RECORD OF
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