32110 (2) 7546 .. Fallenle.af
CITY OF SAN JOSEBUIL_DING DEPARTMENT
APPLICATION„ FOR BUILDING PERMIT
Lo 10s rrt 2-4 j
Date >/� .:liZl9. ... Permit No.- -Z.// O
Application is hereby made for a permit +o---------000:Am.................................................
a-----/-........story, Type.....
- --- ---
--------.... .............
.._... ....................L1/.� ..a....------......---.----Building
at...7:J.t.. (b Q---....---------- '---- - Y« .(W--J.7..C...................................
as
to ac occupied only Plans,
"����% ----------
in accordance with Plans, Specifics+i p d Plo# I n it a ew h.
Estimated Value of Improvements, v9,,va-J.......
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.-/vc-- /.m/g6e/ �-V>6T/'('/H'.410WATdrdre��.....//1.5..� �'-tt..!..f.�. ......3.
i�
Address.........----.....-----------------------------------------
Contractor,
-- - ..._Con4rector, gent
Form "7560 Fallenleaf f „c�? Newman & Terra
RECORD OF INSPECTION
Foundafion........ ... ........ c, ............ ...............................................
Sfucco............................................------------------
/ 2 , 23 — S-9— � 61L.3