3435074`j BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date ------------ --l......Z-7 .............., 19--w .` Permit No. ---
Application is hereby made for ,,Permit to ---- .....-------------------------------------------
a -------- /-..-storv.
- - - -a--------/..--..-storv, Type --,f_' _.+lr,c .-.J'`•'Cl-..------------------------------------------------------ Building
at .-,z..-...1....1-r ;Sprecif
-- j`Yj to be occupied--- -.---- f ----in accordance with Plans, icatio a Plo -plan filed he ew fh.
Estimated Value of Improvemenfs, $_Z'-6)
p I
It is hereby agreed the+ the requirements of the Sen 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 an �rrrar�er t as to v eta the workman's compensation laws of Ca fornia..
Address .....�'._ i------�-- ----
Form 280-1
RECORD OF INSPECTION
Foundation ---------- ld G0-r�J ---- Frame -------------------------------------
Stucco
.... ----
Stucco ------------------------ ----- -Finish /77& at--
-- ...----------------