34359 1386 OF SA 1 gl t BUILDING DEPARTMENT
''T APPLICATION
QFOR BUILDING",:PERMIT
Date-----------/...�...'?` ------------------ —19K— Permit No................... ---------------
r Application is hereby made fo a permit +o ---� - --"-�
...
a.------/--------storY, TYPe---'-b_- --'�-~`-- L�-/ -. Building
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 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 ------_A� Icvy... _...................---.Address -..----------\------ --------------------------------
Contractor, Agent
Form 280-1 1352 Stelling ff Cox
RECORD OF INSPECTION
.2-9 - �,o d-400�� ,
Foundation .............................—------------- .......... Frame ----------------*------------------- -----------------------------
Stucco ---------------------------------------------------------------- Finish "......
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