35430 (2) 1ICeriL-iaobc�r .�.s
CITY OF 1��j SAN JOSE ;P . , K;; ' c•rao. t7BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Z
Date-------- , 19.6- .... Permit No..... - h<�' -v............
.. -- -
-----...... ........................
Application is hereby made for a permit to .............� '----------°
°------I--------story, TYPe-- - --------- z------------------- .....................- ` Bwldin
g
+o occupied only as - L. a
in accordance with Plans, Specifications-yC t-�an �er Xr�
Estimated Value of Improvements,, $---L-4-°-�- ----------------
It is hereby agreed the+ the requirements of the San Jose Building and Zoning Ordinances and ell other
laws applicable to the construction, location, and use of buildings within the City. of Sen Joie, 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 7L1. yt[. JO. NL. IafS s0. Nru.-
A - - Address - .......... f 9
'n'r-vim.............Address w ---------Gl
Contrecto4 Agent
Form 280-1 -
RECORD OF INSPECTION
Foundation .....�2 , 2,S`6 6
------------------------------------------------- Frame ---- ------------------------------------------------------------
Stucco ---------------
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