32986 (2) CIWF SAN�69k""a BUILDING DEPARTMENT
APPLI CATION FOR BUILDING PERMIT /3
Date---;-'I'- -------_ 19-,CFI---- Permit No._-3-4----q__OD--------
Application is hereby made for a it to --------.5a-- - ---- - -------- --------------
p, r m:
ory, T er ------------------------------------- Building
-- - ------------ -
to be occupied only as -------------------------
in accordance with Plans S ificafi d PI I jAod herewith.
m ts' $
Estimated Value 4 V 2�
It is hereby agreed that the requirement, of ;he San Jose Build?nrg and Zoning Ordinances and all other
laws applicable to the
h is construction, location, and use of buildings within the City of San Jos., will be
complied with.
I certify that in the pis 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 workman's compensation laws of California.
Ownery-4--)-.....Z-----Ad&,, 24t'.'� 4?!� ----Address
......... ------------------ /SP...---------------------------------------
By ---- ---- - --- --11--------Address ...... -----------------------------
.....ri ......
r1m.for,
Form 280-11
RECORD OF INSPECTION
Foundation y.---- --- Frame --_y:.(►.
Stucco ----------------------------------- Finish -----------
r 3 7 0-3S-
520 2,3