37309 i14A sty- /c7
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLI��TfOe"4;�" FOR ILING PERMIT
��mif No. ................
- ------ ----------------------------
Application is her do for a permit f_Z�0�-------------------------I-----------------------
//...story,
...story, .... ------------------ Building
at -----.R0-------- --IWAe�k
to be occupied only as/_,;;" ----- P6�7
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of improvements,
----------------------_---
If 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 n7 so a violate he workmen's compensation laws of alif
W'n
-----------/*------ -
Add res -- -- --
-- ---- -------C—.-..Address ----------------------------------------------------------------
Contractor, nt
form 280-1
RECORD OF INSPECTION
Foundation< eFram- ......... ......
stucco� Finish ---