34585J498 8tAht6M AoT 1_ .27
CITY OF SAN JOSE A� BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
. _r
Date ------ ..... 6.... 19_( 0 ,
--------- ...... Permit No. ---------
Application is hereb5 Lade -------------------------------------------------
�e a permit to
a ----- /:;.- ---- story, T ........ ;;;,7- Building
1 —1 ... o) ----------------------------------
at
AA
to be occupied only as .... ----- -- --- -
in accordance with Plans, Specifications and Plot -plan filed herewith,.
Z�� er,7 --
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 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 Mann," so as fg, violate the workman's compensation laws of Califorl") , /
�y
Form 280-1 11
RECORD OF• INSPECTION
Founda+ion-------/C � Y" , Frame -_---- /1---2 3 .
3
Stucco ------------------------ - FFinish