33664 16CITY OF SAd JOSE BUILDING DEPARTMENT
4."zg- a-SAPPALICATION FOR BUILDING PERMIT
Date-----e'- ------------- 19--6 --- Permit No..--.-3---3-----6-------
- ......
Application is hereby made for a permit to ._4?D ----------------------------------
a - 4O-L4.-story, Type -....�4y� a* ... Building
at ..�1J.95----. Lin --- ---
to be occupied only as ..&--------------------- �yyf ��� �
in accordance with Plans, Specifications an plan sled erewt
Estimated Value of Improvements, $---0-0-0.0.................
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 `/�p%�'�:..4-s Address .L.✓��.U. C!..
.
By 1 - ... .Address ....
ontracfor ent
Form 280-1 1095 Ste ing ..nfipI ��
RECORD OF INSPECTION
Foundation ----------- �- -Frame ----
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Stucco -----------------------------
linish