3435074 ITY OF W JOSE qAl `� BUILDING DEPARTMENT
APPLIC TION FOR BUILDING PERMIT
Date...............1... 2--/ --......
Application is
a ........ /-'---story, 1
at _-Z ..... /
to be occupied only
19 .... 191
Permit No....._.3....
_!..-
ryapermit ------------------------------------------------
i
Building
��
.-----------------
in accordance with Plans, Specifications and t an �i�il��"Kef4
O �
Estimated Value of Improvements, $------ �---------------------
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-
r--v-i-
ola�t.
-�th-wk�mIen's compensation laws rof Califoo ..
....��soCme.Address/ iaOI} -. --.Address ---- �.-.i................ -----------
Form
..... ...Form
�C
280-1
RECORD OF. INSPECTION
Foundation l/
...................`.......----------------------- Frame ---------------------------
Stucco ------------------------------------------ Fit --- /��w --- '