33294 (2) "7' �O
CITY OF SAN JOSE BUILDING DEPARTMENT
,/PPLICATION FOR BUILDING PERMIT
2j C
Date.......... ........... ......... .....:, I Y............ permit No............... ..
Application is hereby made r a permiflo --- --------------------------------------------------
a............(--story, Type- ----------------------------- Building
-_ g�............
to be occupied only as _-------------------
in
-------------------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements. $-----1_2 -------------
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 manner so as to violate the workmen's compensation laws of California.
Owner 4
_Z1 -.Address _11.f.l---
By --------Address ........----\----------------------------------- ----------
Vao,jtVn1 Newman & Vierra
Form 280-1 7541 n1eaf
RECORD OF INSPECTION
'- '- - ......_0 L4,.da+.!V.`.�`�.. Frame ._C'.-ra'-..:�L7���- ,
Foundation J=_rr-� ..........
pp ------------=----'--....
Stucco . `. • O''
--------------------- - ' Finish
/ ----------------------- -