32468 7739 6b' ria0A
CITY OF SAN JOS J rBUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
......-------------- lq_!7. f. Permit No.........................................
Application is hereby made for a permit to�----- .................................................
a....-Z-------..story Type __,
------- ........ .............. ----------------- .. .............Building
at- --------------I--------- ----- ... .... -- -- -- ..... . .. .. ... ............vy----------------------------
to be occupied only
........................
in accordance with Plans, Specificafionsan�... -pfiled r
Estimated Value of Improvements, ... ...-..
It is hereby agreed that the requirements of the San Jo-s-; Building and,ioning 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 thework for which this permit is issued I shall not employ any per-
son in arynner so as/4o become subject
to the workmen's compensation laws of California. tr
/
' - V O
------ ------------- Acldreliv/��_c & . .........f
....
owner ... .... . ... C_
.............
....................----......Address ................................
Y> ----------- ------------------
.1 Contractor. Agent
Form 280 J. Hunter
7739 Robindell R.
RECORD OF INSPECTION
F;�X/dation.....��40 C;zd-
...............................-------......-------Frame... .............
Stucco----...............-----------------------------............. —------------
Elect 50902 11-60
Plbg 36306 2-28-60
Gas 51413 2-29-60