32986 (2) CW0ZF SAN61�Si"""-- -* fed- BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 1
Date--- ---------- 19_6P Permit
Application is hereby made for a permit to --------
a�------�Mry, Typeg ------- ........ Building
?IS�oY to JAS >Z— 0T7c,,VWqcsD
at L'�Y�-------------
to be occupied only as
in accordance with Plans, Specifications and Plof-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
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 mannerAo as to violate the workmen's compensation laws of California.
4�e,�A4Aciclress 21 -7;�
-- -- ---------------_-
Owner --------------
Address ... ......Z�--------------------
nfractor, Ag I
BY e��
Form 280-1
RECORD OF INSPECTION
Foun fion
da Frame
..........
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