37957ll' zh JOSE
I A6Aon:
CITY OF SAN JO WUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
27 '1-
J-71 .... ------ ------
Date ....... .................................. . Permit No.
Application is hereby made for a permit to./- ...................................................
a --------- J ...... story, T
o`Building
at IZ4 , 0 -a .................... I...
t only a/:-__.?
o 6e occupi I I --
in accordance with Plans, Specifications and Plot -plan �ed herewith.
Estimated Value of Improvements, ......
It is hereby agreed that -the - I requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to the c3niTruction, location, and use of buildings within the City of San Jose, will be
complied with.
I certify *he+ in the performance of the work for which this permit is issued I shall not employ any per-
son in any manger so as to violate the workman's compensation laws of Callfr,,nia,
OW4�els/ YL ...... Lr ...........
.... Address r....... ....... ....................
Confr,ctor, Agent
Form 280-1
..
.... .. ..RECORD OFZ Fran
INSPECTION
..
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I
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CITY" OF SAN JOSE �b'Oa '�"l WUILDING DEPARTMENTask
'P.4"4 /I/ /
APPLICATION FOR BUILDING PERMIT
Dafe--/,-j
------------------.--1........ g.,? ----- 196Y_ Permit No. -3-7-Y --------------------
-...ad
is hereby made for a permit fo_,�_ X�i - W/> ------------------------- - ---- ------------------
:� ----- -- ---
a----------------story, T e_;i�� ------------------- Building
- -1Z
at _/ 0
.... I ----- -- ----------------------- ---------
to be occupied only as /. -- — --- 7 .7.!q:�.a'_�c
in accordance with Plans, Specifications and Plot -plan Vied herewith.
Estimated Value of improvements, $/Zir_o%-'/-
-.
---
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to the
h is clgns;Thuction, location, and use of buildings within the City of San Jose, will be
complied with. I
I certify that in the performance of the work for which this permit is issued I 0 i shall not employ any per-
son in any manger so as to violate the workman's compensation laws f Ca, a,
lif
04 .............................. Acldres,/_e�_e.,� ztl ---- Ilicv /.J..-
.......
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B_ .............. Address --\-/
11iX I --- ----------------- ----------------------
Form 280-1 ContIct!", Agent I —, I
RECORD OF INSPECTION
Foundafi
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