34501 A65 Stintord / / 3
CITY OF SAN JOSE `` � BUILDING DEPARTMENT
APPLICATION /FOR BUILDING PERMIT
Date.,/1e/z---.��........--- 19-f�.�.�.... ��Perm-itt No.---14.�/ r-------
Application is here fora permit to _�-1:--�vo------------------------------------------------
a.....-. -"---s4orY, TYPe - ------ - - -'--- - - '- - ................... Building
et ../ 5 !/ �"s _ . ...
to be occupied only as --_--- ? �� \
in accordance with Plans, Specifications and Plot plan filed herewith.
Estimated Value of Improvements,
It is hereby agreed the+ the requirements of the San Jo 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 inIthe performance of the work for which this permit is issued I shall not employ any per.
son in of manner a to violate the�w000rrkman's compensation laws of Califlrnie.
Own/e � 1 ✓!• - 1�.��6C....Address� G 5 )V
/ - / /� I.
{iL -'-------"---"---.......Address /. - '
B�, ..._�..�
Contractor, Agent
Form 280-1 '�
RECORD OF INSPECTION
Foundation ------./Q / �D Frome .....// �6,0
Stucco G`
- - _ Finish