37295 (2) CITY OF SAN 7JOSERA ihbb%9 �� C J 2 1 / BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Dafa------ ------------------------- ---' 19......'9. / Permit No.._:;r.7_?-�'r _
�/ -----------------------
Application is hereby made for a permit to ---------EC.1` --------------------------------------------------
a.........2-_.sfory,
'..............._..._....--......--..........--
a......._2-_sfory, Type_!!;I -.M------------Leu-...vr --------------------------------------- ------------- Building
at .--------:72.?------lea, �49_c,t-----4)__t-��-r
to be occupied only as --- ..(�n-if._z4f?/.
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $---7.200...... (�]�
If is hereby agreed that the requirements of the San Jose Building and'Zo�ning 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.
A_4) 3�Zf .ST-�vEns eRr,. ti�D .
Owner r.-E.[1L�.G.S..— —Cct-..........Address .. f�NT � R ---..
By ----5"r<.1. -=------ --------------------------Address ------------------------------------------------------------
Conty "ARginbow R. W. Briggs
Form 280.1 _ -
RECORD OF INSPECTION
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oundation- —f7-6*, Frame- e--'
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