37032 CITY OF SAN JOSE�546 'Tib toe BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
- ----- _/---------_' 19.41.. Permit
Date----------------------�0
Application. is hereby made for a—permif to ---------------------------------------------
/---------story, Type-------- ---------- Building
7 i—"4:Z0
- ;r---%�r-------7.......................... ...
to be occupied only as ......... ------ ------- _ -
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $....,/,......-P..:?...?
P...
It is hereby agreed that the requirements of fhou<n 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 manors? so as to lat he Workme I compensation laws of California.
z5Z
0wnejz___ ------- . .......---"Address -—------------------
By -----------------------'1 _1 Address ----------------------------------------------------------------
....... ..............................
Contractor, !940 Tiptoe Mannuel Villarreal
Form 280-1 44
RECORD OF INSPECTION
---- --------------
Foundafion -.'.X!-.4-AFrame ..... ..... .7.................
Stucco
---- Finish --------- ............-
..... . -------------------
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