346827419 Stbht6i'6 4 a r Y
CITY OF SAN JOSE P,q L
APPLICATION FOR
BUILDING DEPARTMENT
BUILDING PERMIT
Date.'...../� c ✓. �................ 19.x..4..... Permit No. ......
7.....T .. '
................ . ..
Application is hereby made for a permit to
a ------ �.--------- story, Type ---- 1L--�-----------'--._........ Building
7 i --i � az e f.I--v--r s✓���r �
a+ 5 .... - - -........... V, -- '
to be occupied only as .-?...".-..!!. '�y.....
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements, $..... ... 0..0-0 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, 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 shell not employ any par-
son in any manner so as to violate the workmen's compensation laws of California.
Owner =� - �-r-`` -fin .f. Arro. Tra:..Address �. .b.s... `ic .. H i_w-~ - 9 - ..
�j
Bd....�,. ..�... - ............Address S� N - are
Cod actor, Agent
Form 280-1 - -
RECORD OF INSPECTION
Foundation ----- G� � ''
'-----------------."---------. Frame ------/-----/ 6�
Stucco
-...----.�/��— f .....-- Finish - G
ori