NO PERMIT NUMBER CITY OF SAN JOSE t�� n� 3J` � BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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---------------- 19-... Permit No..----------....------------....---
Applicafion is hereby made for a permit to.......�Ll,.l., .f.....�......................................
a-----P.: /� ..ssforyy, Type---------L -................7 r l-b" '."`-�--`�--- ----.......Building
to be occupied only as..........f/i%�.. .--. ....:. cr u `: ------------------
in accordance with Plans, SpecificationsandPlot-plan filed herewith.
Estimated Value of Improvements, $./1�00.----..---..
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 Celiforn'leJl A/INT
L f .V� tl�t( 6: %v�Address--�I..Z C GiO------ �
Owner.- ... .
...........
By —............. ..........Address------------------------- -------------------------..-----.......
Contractor, Agent _
farm 2WI 1024 Westl nn Howard Lucas
Y %� 7�s�
RECORD OF INSPECTION
Foundation.-..-----7
.Fram
.. - - ------. ..... ------------------------------------
Stucco 4:111- / 0. 444� "
.............Finish----- ------ --------------------------------------------------------