37295 (2) CITY OF SAN AJ 4 kiihbow N l ZIY
3 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date------ ----------------- ----, 19----4 -f Permit No.-17-7--29J-r-
.....
Application
is hereby made r a ermit to .__ _./f� ._....-_....-..._..................... ........
a---------z".storY, TYPe--- -- ---- - ----- ----
----- --W4-� ---------------------------- Building
,/.
#o be occupied only as ...9._(1j�}-i -(...- /V i`r 5'/�"'✓'^'
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $------�. �------ - -o_0
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 Calif�ig,,,,,,a-•*ks.. �R •�'�'.
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OwnerLJ..•.f(�-.. �_GG'S C�,---...Address ------ te---------------------
BY ------S9nqr------------------------------------------------Address -----------------------------------------------------------.
porm 280-I 4r—'
Cont? Plinbow R. W. Briggs
' '
RECORD OF INSPECTION p
Foundation ...:1 p .�!----J�.'�. Frame
Stu co ------ --- -----`�•-=�--C23---�-- -27--�--Z--- Finish --------- - -