35938 830 StA-ndhhl
V, IBUILDING DEPAR466
PITY OF SAN JOSE
a J3 APPLICATION FOR BUILDING PERM 10��
Date....1A -,,,?---------------- 19--- lermit No—j-5-.12?-------- -----
Application is hereby ma a Permit to --4 ------------------------------------
a-------I--------.story,
--- - ---------------------------------------
for
a--------I---------story, Type-- --- 0 - ------ Building
at -..............................J?3-
ems
-----------
to be occupied only as -, ----— A)��
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements, $------1,31.--3-l-7-_---
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 pe rformance 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.
;,,,nes, Inc.
Owner -------------215L-51,-fj.?LUd5-DJ.iV-Q..............Address ---------------------------------------------------------------
I lt!os�iifornia
By ----- Address ----------------------------------------------------------------
Contractor. Ageni-7,: ------
form 280.1
- RECORD OF INSPECTION
Foundation -. .j-'-�� ---7-- C�C' Frame[ '1T.G------�,�..-.'...7.'..lDl..
$facto ..----------------- Finish _zllt1!?- /`1S.D-- •-- -L--�- /