35600 1456 tZ61 I 1h9d61 L t
CITY OF SAN JOSE oDr, a L BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date----------------------- ............. 19_`_I-.... Permit No..1:` - GJ...------
.... . _) .....
Application is hereby made for a permit to ---- ---------------------------------------------------
a----f-----------story, Type..--z-------- Building
----------------------
------......
at 0,//
............. ----------------- ------------
to be occupied only as
- ----------------------
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements, $---1_0.c ---------
--------cc--------
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 shall not employ any per-
son in any manner so as to violate the workman's compensation laws of California.
� 0 14
Owner ....Address i_A(=,s ..... . ........X...1----------
---- ------ -----
B9_
65_.CE�C�..................Address .. ....... ....................
Form 280-1
RECORD OF INSPECTION
Foundation ------- Framoe - -4-f-4
------------------------------------------------- ---- -
Stuc
Elect 56279 4-19-61
Plbg 40205 1-16-61
Gas 55174 1-16-61