37797 7563 .reW
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CITY OF SAN JOS w 0 _--"' BUILDING DEPARTMENT
/A PLICATION FOR BUILDING PERMIT
Date--//
.. ....................................... 19.4../ Perrnif No._j_72_5"_Z-----------------
Application is hereby ma-4e for a permit fq:�_ ---------------------------------------------------
-story, Type__7_z:_
Ea---- it/ ------------------------ Building
.............
to be occupied only as /— _;;7
. ..............................
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements, $Z�--';150
........./..-----------
It
...-_/-------------
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 i shall not employ any per.
son in any rpan r so as he violate the workmen's compensation laws of California.
ow'��
Acldress/�o
........................... ---- -------
7-/; ---11.....................
7 ...............A -------------- -----------------------
By (�' -_e
o;�fAj Agent
Jontr. r --------
Form 280-1
RECORD OF INSPECTION
Fo( undat)on L --�-Z.�-/.yi�e-/Frame --- f-s F�—�D ��G C 2
of� (/ - -- - --- ...
S}ucco ------------------------
..............�G �. Finish