38563 CIWI&F SAN JOSE�ck"T rt
BUILDING DEPARTMENT
APPLICATIC&r] WING PERMIT
Date. ................. �T_3
__. t19
_70.......................... .. 19. Permit No----------------------- -----------------
Application is hereby made for a permit -------------------------------------- Building
a------/------story, Type `-- ----- - �t ------------- -------------------- Building
pp
at ....... ............ ---
to be occupied only as -----------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $.../X_�t 01
If is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and .11 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 mannjr so as to violate the workmen's compensation laws of California
Uw!n7el .i---- ....CGCG� � ...... ---------
1 7-------
---------- �_- -----
Address ,�; ii. ------------------------------
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Contractor54ent
Form 280-1 lZ
RECORD OF INSPECTION
Foundafi2n 't�A�A,,--L L/-,/.2.6 2, 7 U
........... A.Fra -------------------------------------------------------
F
Stucco ----------------------------------------------- .. Finish
--- FinishZ,