39793 CITT OF SAN joSelller BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. .2522--- Lot No.
Date----- ....... *...... . 19--4z Perni�Nol-9 7.9 3
- ---------- ---- ------------
Application is here6y made for a permit to ...�zf-,Vdl------------------------------- ------ --------
a------/......story, .,elarx.pie Building
at Use Zone .e2.-----------
Occupancy
be occupied only as Occupancy ...L---------------
Parking Space -----1Z-------------
in accordance with Plans, Specifications and Palos-plan 2 -plan filed herewith.
Estimated Value of Improvements, $-- — ...........
It is hereby agreed the the requirements of Jose Buil ng Zoining OrM6nd all other
,1*4 applicable to the coksffttion, location an use ud rzy Jose. will be
ad win
C work f ich this permit
J�aVth, 6ima a - k is issued I shall not employ any per-
if �th. wcrwkm'a,r'! compensation laws of California.
�icilef w th a p Ta
Per-
on
'6�
�t ko ,A.,a
...V--., avi.,.Address -------------
00je) 1!5�
ByAee g.at--- -------Address .7-45-K----------
Form 280-1
RECORD OF INSPECTION
Foundation
Stucco ........................................--- ------------._.:.
�, /to to