32677 16(�8 prig r�086 9
CITY OF SAN JOSE Za 7 17 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date-"it.- -r-'--Z -- // 32,672
,/ 190.4--- Permi o.-------------------"----------------
Application is heteby made
permit to ----- ----------------------------------------------
a
�------------------------------ - -- -
a........1-------story, Type---------- v-------------........... Building
at -X(e!ld..,--------.%"l11r�1(!.s?.J-...----------
to be occupied only as .---
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements, $---1JQ00....................
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.
Icertify that in the performance of the work for which this permit is issued I shall not employ any per.
son in any man or so as to violets the workman's mpensation laws of California.
Ownerv" --- ..ORJ- �D-- Addrass 112.!j?-------- - �i�ryd,.l�. /T----
By - ------- ...- ----
--------------------.Address./b --U� -Y _e-/.Std// ---------
1 anfrac r, Agant ohnson Const .
Form 280-1 164 Y T'o_se
RECORD OF INSPECTION
Foural'tion ------- Frame ------
.......................................: ------------------------------------------------------
Stucco ----------------------------------------------------------O'e Finish -Z< -, ^.!-_.-.-...----------..
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