34885 (2) 10 63 C,6-16h" — ftl�
CITY OF SA JOSE BUILDING DEPARTMENT
APPL19ATION FOR BUILDING PERMIT
Date------------ ............. 196---Q—.. Permit No....34-865. -----
Application is hereby made r a permit to3y-t.
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a-------.......story, Type.----I------ ---- ---- ----- --------- Building
at ----J-vj�-3------Z------------- -, i -��------ ;�
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to be occupied only as -----Py&w-l; 5--hw
. Pot-,
in accordance with Plans, Specifications and Pot-plaftWedherVift
i Estimated Value of Improvements, s-Yi-0-do----- ---------------
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
compiled 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.
Owner
t.K-1..:...Address/z/ ,jr---
Address ..........
—4 ---- - - ------ ---------------------------
jntryot.� Agent
Fcrm 280.1 106 ony Hills Greene Bros- .
RECORD OF INSPECTION
Foundation --- 2- — / —
"-------------------------------------------- Frame ------------------------------------ ---------------------
Stucco ---------------- ------------------ -------------- Finish ------------------------------------ ---------------�3 - 35797
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