34501 7471
CITY OF SAN JOSE A BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date Permit No....3.�q5..of-------
/��/";X�........................
Application is hereby m de-fo a permit to ...........
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a------->(-------story, T -- ----- --------- ----- .... . ........---------------------------- Building
at .73171- Yp............ ---------- .....":'�
to be occupied only as ---- ----- ............
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $
It is hereby agreed that the requirements of the San Jose Buildingand Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings w,thin the City of San Jose, will be
complied with. which this permit is issued I shall not employ any per-
son
certify that in the performance of the work for ,
I . I h workmen's compensation laws of Californi
son in any�mtirme �G»�CC�
LOatO t a
Ow�ner;j
.
. ... . .. . .............�_C...... ......
tsy— ...
ry Contract , Agent
Form 280-1
RECORD OF INSPECTION
Foundation
Frame
Stucco ---<
Fi ,h -------