32330 (2) 7514 F6116t116.62 _
CITY OF SAN JOSE L-o - 7j 7 (L z+? 5 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date---L -L8 `9— 3 2 3 3 0
----- ................_...., 19 - .. Permit No.----------------'-----...- .........
Application is hereby made for a permit to----------(3.L/P........................................._......
a----a wE .story, Type--a..... FS------ .......................... -.......... .....-----...----.....Building
to be occupiod only as......... V .Ft f^.o do .......................
in accordance with Plans, Specificationsgqand PI -pKi fil ere it .
Estimated Value of Improvements, $1.?J11! 4_Q.......--..
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 workmen's compensation laws of California.
Owner.lVG''[u/hANY f�ittFy A")t /r.....Address-A-11--Hf M 'L. Q.ts1....f�t.............
/ -----------------
Byasftaigv`!` ...� ''t+�rf�t✓-.....Address.... �. i9aef- ....... - -- ........
Contractor, Agent
,arm '7514 Fallenleaf Newman Vierra
/D RECORD OF INSPECTION
Foundafion../ --......._
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