33497 9i6_ 8&Fe
CITY OF SAN JOSE Lo-r 3S- BUILDING DEPARTMENT
APPLICATION FORBUILDING PERMIT 003
Date....... --- Z.
---- ............................ Permit No.----3---7--- ...7-- -------
Application -
is hereby made for a permit to ------ ------------------------------------------------
a7_7---------- /Z---------- Building
at ...... .�--------...!).A--<— ----------------
to be occupied only as
in accordance with Plans, Specifications and Z'Far *11row16ze
Estimated Value of Improvements, $..... -_0
. ----*......
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, 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 an ann so as to vi late the workman's compensation laws of California.
Owner Address . ... ............... ...
Address .... .
............
By ..... ..
9j, tractor, Agent
Sage Palo Alto Dev.
Form 280-1 6
RECORD OF INSPECTION
Foundation ...... Frame -A,2�0-6--e.....
. ................. -- --------
stu\cco ------------------------------------------------------------... Finish
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