32986 (2)CITY -10F SAN�P""
BUILDING DEPARTMENT
APPLICATION FOR BUILDING-. PERMIT.. J30J
Date--------- ---------------- - v---.., 19 --- '�) - Permit No. ---- d�..�...9 Q.-.�.-'-----
Application is hereby made for a permi to ----- --- (flo---`-t�1'-:...... .........................
---t-- ---- °fY, Type -----------------i---------- "— ---------.i!.-T% . C7��L..'Building
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aukx'73 CoTToi/Zvoop /'2
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to be occupied only as --------in accordance with Plans, Spnd I✓alffi rewith.
Estimated Value of Improvements, $_-/��Q Q----__......
It is hereby agreed that the requirementsof 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 manner so as to vioolla�te, �thheewworork�mpen's compensation laws of California.
Owner' , - .. --..5 a"w........&' ...Address f/--/ ,�l ILim ±R .........
v✓ /
BY "''rf. .. Address {...............
Co rector, Agent, '
Form 280-I
RECORD OF INSPECTION
Foundation
sfac�,o -------------------- : ------------------------------------------- Finish 7a�
- ------------ --------- - ----- -----------