33108 CITY'OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FRF PUILDING PERMIT �a
Date-----------ot—.� S ----------------------- 19..0..0--. Pe mit No. O�0.e
Application is hereby made for a permit to ----------------------------------------------------
,�-�-- - -a---------------story, Type-_- -- -- -----------------------/----u---.....
Building
at -----9-------
to
be occupied only as --- .�;.d_AYL..............
in accordance with Plans, Specifications and PIlot-p�aqt��
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 performance of the work for which this permit is issued I shall not employ any per-
son in any m er so as to/vioollaatteetthe workmen's compensation laws of California.
Owner ... . . 4G'f f 1...f��'7�—Address elf
//
By - LTJ. - -.-1.. - .Address ------------------------------------------------------------
Contractor, Agent
Form 280-1 924 Sage Ot . ✓ � ,--bo
RECORD OF INSPECTION
n
Foundation
�` 3- �6..QGjL....----- Frame Z-.---------- ---N--' -------------
Stueeo .-...----------------------...--------------------------. Finish ---
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