346827422 St6hf6ed
CITY OF SAN JOSE c o r v 3
APPLICATION FOR
BUILDING DEPARTMENT
BUILDING PERMIT
Nv--�............ ... Ig_�_S.... Permit No. C. ..
Application is hereby made for a permit to --------u-'--`-.
a---- t --------story, Type ----- ��-----rr- R C i ,e a .V c e
Building
at
to be occupied only as--L--------'-�g"r'�./---
in accordance with Plans, Specifications audio t9fileje f��
Estimated Value of Improvements, $---- "--o._o-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 shall not employ any per-
son in any manner so as to violate the workmen's compensation laws of California.
Owner n-.:.-: !{ c. .02cn,-4Arre_�Ne-_-..Address {.Q_G-s `��. l./rYdN
--- ------A ----.�
By :- /
...........-Address ... - ...... .......................
CCC///�VV/
Contractor, gent
Form 280.1 -
RECORD OF INSPECTION
Foundation ..//.. ? Z-� 44 A lL
Frame------- ---------------------------------------------...------
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