35686 CIT :SF SANII& d21v�.�� /<- E BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date--------------------------------------------------- 1961----- Permit No... ..�`—..4'. ..fie_.........
Application is hereby made fors a'permit to -----------------------------------------------------
a------------/....story, Type------Z....45rg1 __ ............................ Building
of ......
to be occupied only as --- -----------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $-----1v£c.A!-------------------
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 performance of the work for which this permit is issued I shell not employ any per.
son in any manner so as to violate the workmen's compensation laws of California.
Owner .. ..T-.t`fsl�nfL'f..-f.klSSa.:. c.----Address ---- -----------..
B // h_/�// tic---- --------------.Address ``-`s-- ---`-5�-'----------------------........
C%-- Contractor, Agent
Form 260.1
RECORD OF INSPECTION
Fun ----4dme
Simc,
----- ------
......................
ELect 56569 5-10-6L
Plubg 40193 1-23-61
Gas 55164 1-23-61