35938 StdhiiAsi4&Y I
ITY OF SAN JOSE q' l BUILDING DE,�ARTM ,T
APPLICAT1104FOR BUIL6ING Mmirvajj�- ,3
Date.....0 - ........ 19----6---- Permit No. --------------
Application is hereby ade for a permit to --------------------------------------
a-------/--------story, _� V/ -- -- - - ---- - -- ----- - - ------------- Building
at ----------------------? -�--------- --
to be occupied only as k--------- ----------------------
in accordance with Plans, Specifications and Plof-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 workman's compensation laws of California.
Huller Hollies, Ine,
Owner ---/---------1.15-t--St. M-Ra ia-Dflve............. Address ---------------------------------------------------------------
B
LAlto� i I
�
o r n i a
..AddrContractor, Agent F_.r
ess
----------------------------------------------------------------
y A
Form 280-I
RECORD OF INSPECTION
Foundafio, Frame -------------------------------- Ft
Stucco ---------------------------------------------------------------- Finish