33364 JOSE
CITY 18; SAN AE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT, qO3
Date...>5 I.q —. . ............. 19.40.,0. Permit No------ ..7---3---
Application is hereby made for a permit to .....t c---p-------------------------------------------
a........../.......fo,y, Type_. .. . ..... .... ... W ,4)................. Building
..
at ......a6
-- ------(!77
to be occupied only as ...!_F- .-CP.............
in accordance with Plans, Specifications and Plot-plan filed herewith.
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
n,
coplied with.that in the performance.of the
I certify work for which this permit is issued I shall not employ any per-
son in a 0 as to v' late the workman's compensation laws of California.
Owner -------- afl&----)21U/__...AddressSL..................
By ------
.........Address -----4... . ......
.....
.............
Contractor. Agent
Form 280.1
RECORD OF INSPECTION
Foundation ....
............. ------------------------------------- Frame
Stucco
3 735-
E