37649 (2) 7771 Robindell
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date..ll.-.l.y------------------------ 19--6 -- Permit No....51..7./c.._-�-�-J-.� _;> i------------rADD SXl� .1
Application is hereby made for a permit to --------.----------_.//
a-------/--------story, TYpe-- - ----- - -- - - - 7_?-
-- ----'g-) &-
.tg- ----...:.......---- Building
-.7-77Y
of ......./j'a,4i1,14 . L.....�
to be occupied only as _�... �1. .f... ..
in accordance with Plans, Specifications and Plot-plan filed herewith. '
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Estimated Value of Improvements, $..LSGT_
If 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. -
1 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.
---------------------..._:.Address - Q -------
By --... -�4-'"';'--'�—`--------------------------------Address .
nCl.a!rr.rk�S /----------------
Form 280-1 777f'1Z5 1n"(Tdfll - Richard J. Parker
RECORD OF INSPECTIOW,
Foundation ...... --
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