36192 (2) 18A 4 Wt 116SE BUILDING DEPARTMENT
APPLICATION FO -YYILDING PERMIT
Date.---------4:g..---------_----
.............. 196L.-:.. Permit No.- /.—7 /9IR.............
Application is hereby made for a permit to ---1&/z_/--------r'IC45S-)-------------
a------/------story, Typej.7----- 4,a _Y
Building
at ___7.7.79.
to be occupied only as ....Spec.-z.. .... .....
in accordance with Plans, Specifications and ffl�o>f �g�n fie&VrA-14��
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 manner so as to violate the workmen's compensation laws of California.
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Owner. ------A d d i a s s 7-7 79--RX-444 I_
By ----- .......................................Address ----- ------------------_------_-------
!ap,
Form 2MI 'd e Marlin J . Goc)kaan
I
:.RECORD OF INSPECTION k; ,
Foundation Fram -
e' ....
Stucco - / ' � ` 2�Z/
- - - - ........---------. Finish y