38046 IiAlla.. t
CITY OF SAN JOSS 1��,f ql v t�_ BUILDING DEPARTMENT
APPLICATION ING PERMIT
sl/
------I---------------I 19co-------- Permit No.---- .............
Application is hereby made for a ermif
----------------- --------------------------------------------
--------------------------- Building
a--------//------story,IT P,,:::)
at ..........
to be occupied only---as*/.._*__2Cr _
in accordance with Plans, Specifications an d Plot-plan filed_bGrewith.
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 manner so as to violate the workmen's compensation laws of Cal)'fornia.
�
Owner ...... ....AdclresszeL.... .....------------
- -----------
-- ---- ----------------................ ----------
--------Address
Agent
Form 2Mi
RECORD OF INSPECTION
...... -Z 41— Frame . ...... . --- 7
-- ------------ 3
-0 "A--- Finish ---------
------------------ -------- -------