32339 —CITY—OF"SAN"'JOSE`'--^ "'—*'--'--- —*—BUILDING DEPARTMENT
(19 APPLICATION FOR BUILDING PERMIT
DEC 2 ?
Date....3 ................-----------------195_5Permit Nos s- ..........
Application is hereby made for a permit to.........1t1].. A................._...------------------------------
a-----`..----------story, Type---------'..........it trn ......................_.................---'--..Building
...................-..
a+....L-±.. ..^.......E�..{ _C.7.:_.^..:.77.^.. r° ._..-. ?•"'•-,A ' ..J--5C. . u
... -.- ..r•-�.✓. .. ...........
n mac, ,ti iv Atv lli. ..----I"a!
to be occupied only as....--------...:. .....:.`.....4 . ..s.............-j-J------------ ...................
in accordance with Plans, Specifications and Plot-pla�f heFvrfh / �
PIP s- 4k7
Estimated Value of Improvements, $... �'. .bQ..O.'-._...
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-
son in any manner so as to become subject to the workmen's compensation laws of California.
Ow _ It' 20 •t xJ:'--
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, . .. .... ....Address.:..--- Z
1� n - ....-..Address.. - -�
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Contrector, Agent °
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Form 290.1
- 1.
RECORD OF INSPECTION
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