38046 (2) OF SAN JOS r 6 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
7A4�7- 7-79Y
Date ----------------------------- Permit No..... ----------
Application is hereby__m�rde for a permit ---------------------------------------------
a-----/------.story, Typ - - - - -- ------------------------------ Building
---- ---- ------- -- ------
to be occupied only as/_- --------- - ------
in accordance with Plans, S cif a
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 marmir so s a v.olaf h workman's compensation laws of Calif
77 Y/
40
0 ffr --- -- -- --Z,_-urs'
as ---------------4......
,�n a dr' /��V' 'f- ------------------
B . ......
Z� ---- ----------Ad'dress --- --------------------------
F.rm 2SO-1 em i ae r. en}
I
RECORD OF INSPECTION
A
FogahSn ...a-'-t-A4 ? R...
FinU -AF-4q
- ---y..'--G--C--L
r7r-