NO PERMIT NUMBER (2) 836 l3andlewood tot 81
CITY OF SAN JOSE BUILDING DEPARTMENT,
-APPLICATION., FOR BUILDING PERMIT
Date_.February---2-4..............-----... 19_6D..... Permit No.-----------------------..... ---
Application Is .J hereb d. f it to 0 St t ,
_SD
-IDme e or Perm ............. ----------------...........................................
a-single-----story, ...I../u0......... ........ .................................Building
at.............F3_e., -Ple
------------------- ......................................................................................
to be occupied only as......-_A." -------------------------!-_------------_
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $...
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 workman's compensation laws of California.
0 wn:r '4he Address.... ...WaY---------------
y ....... ---------- -------------------
Address....j�ajq..Aito., California
-a for. A
Form
28 18 0
378uan+1e v%heatley vonst.
RECORD OF INSPECTION
Fou, tio,."--.62,
.............:.........Frame-
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