32066865 1 Lily kei-qo_,-
CITY OF SAN JOSE LI BUILDING DEPARTMENT
APPLICATION YFOR BUILDING PERMIT
Date ------- -7 ------------------------ 195..7.. Permit No._�O_&6 -------------
Application is hereby made fora permit to ------ 9/1W
...................................................
-1; ................................. P&I-5 ...... Building
a.. ... ....... J .... �tory, Type.__._1Z: --------------- ?_ - ;:� -------
to be occupied only
in accordance with Plans, Specifications and Plotplanfiled herewith.
Estimated Value of improvements, $...
It is hereby agreed that the requirements of the San Jose Building end 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 anner so as to become subject to the workmen's compens_k ion aws
Owner._
wne 7/
------------ Address ------- 45.�
71, n 11)
Contractor, Agent
Form 280.1
RECORD OF
Foundation ------
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S 0)'G 0
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