32468 115'7
CITY OF SAN JOS EJP � BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date �.--.--'/7-................... Permit No--- .ZQ`--?------......
Application is hereby made for a permi+ + ���-----------------------------------------------
a-----
...........
-forY, TYP ---'-�'--'..-� ...... ... --- - ---'.'........................"..........--'.BuildingL...':....l---y Z// �-- J. ... '.. -./(/ -------------------------------------
to be occupied only as.-,-/ --- ----- .. .
in accordance with Plans, Specifications and Plot-plan%f i hei�i�Gifhv'
Estimated Value of Improvements, $.�Z�-i. .--.....r!0 to O U
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 com-
plied with.
I certify that in the performance of the work for which this permit is issued I shall not employ any per-
so -any menAer so as to becomo subjoct 4o the workman's compensation I ws o - California.
7
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...... .Address...' -Gtr /- =eC.—�
Con1m or, Agan}
Form 280-1 J. Hunter
1157 Stelling s-j//0' (per
RECORD OF INSPECYION
2
Fou at .......................... -,- 4 11g,/,4j
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