35938 BUILDING DE `IrMfia'
CITY OF SAN JOSE 1;7AR
APPLICATION FOR BUILDING PERM . �?—
Date .......... Permit No._1310yf---------_--------
Application is hereby made for Is permit to -----------------------------------------
a-------F-------.story, Type--- ------- --- ........ ...... Building
at ----------------74-----------------
to be occupied only as ................. ...... <...-. 4fWr
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $-----11�1_
It is hereby agreed that the requirements of the San Joie 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 workman's compensation laws of California.
Owner -------------------Address ----------------------------------------------------------------
/Pa Alto a
By ornia---------- - -----------------Address ----------------------------------------------------------------
Contractor, Agyt xl�
I. Form 280-1
,:, RECORD OF INSPECTION
Foundation -._1"a f?� Y -_��3-A m ---
ishShcco .....------------------------------------ --- Fin
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