38653 (2) �I -g P0111nger @ci
SAN JOS BUILDING DEPARTMENT
APPLICATION //FO��77R BUILDING
PERMIT�n D
Tract No. ���.K�7. Lot No. ..... ...._........ _��
Date
--.-.... .. ------ .o=-f
r-----... - -- i--- L .--PP-.e..rmit NO
..3.Q.---3
Application for a permit to -- C�......................_..--.. _
_'-.._.:'.
.--s#orY� Type ------- --------------
r
� Building
e .L - .----
at ruse zona. Occupancy --------
to be occupied only as ..... ........ '00 .... Parking Space .-..---------.�--
in accordance with Plans, Spec"
atio and Plo la le h #
Estimated Value of Improvemen . . *.. .o i . V
It is hereby agreed that the requirem nts of a San Jose Building and ZoninfOrdinances 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 manner so as to violate the workmen's compensation laws of California.
Owngc,>=^ -c.�'�d. --- ...._.. --------- Address
coair.aror ��..����
BY�a•"t E�'-- ... Address �t 4
- . .
Form zeo-I 64nZ -03 B�L'_�❑7�,^ Gerald oalkey _
RECORD OF INSPE&IO/N�
Fra ----CO.'�--�0 /
._...-------.._--------...--.........I -----'---- Finish ..... . �G-2—
�i7oe� AGA�ni�T Lu/4 ��.