32905 7161 96biftdowt� Z_
CITY OF SAN JOSE Zal� 7 � BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Pate ............................... 19 ermit No. ............
Application is herebyde f 3 permit to e- -- ------------------ Building
a.-------F-......story, Typ - - -- -- --------- t - - - ----- - ------ ----
at ..... --------------------------
to be occupied only as
in accordance with Plans, Specifications and cit-plan fi/edKherewith.
Estimated Value of Improvements, $--------------- -------------------
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.
; I certify that in the perform nee of the work for which this permit is issued I shall no! employ any per-
son in a"ner"lo as to, iolate the workman's compensation laws of C�Ilf
Otir ---t.... . ----------------
-----------------Address,,, -------------------- ..................
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hInj
Form 280-1 778 *6 a er
3 RECORD OF INSPECTION
..
Foundation ..... . f'-z""p
---------------------------------------------- Frame /044--7749
Stucco ------------------------------------------------ -------------- Finish
Elect 51472 4-6-60
P lbg 36694 3-28-60
Gas 51773 . 3-28-60