33029 (2) LIS BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date------------------------------------------- Permit No.3
3-0 9�----------------
Application is hereby made foL a permit foe�o� -----------------------------------
------- --------story, Type -- Building
- ----------------
0-------------------------
to be occupied only as ......../ 77.a
... ----------
inaccorclance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $.../Q _ V_6)--------------
;e
4�
It is hereby agreed that the requirements of a San Jose Building and Zoning Ordinances and all other
laws applicable to the consfrucflon_locafion, 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 asfo. violate the workmen's compensation laws of California.
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Owner --- ----- -------/tel ----- ------
------------- ---Address-'/_!�' ��- --------------------------_------------
C A LI-1,
VMnIlAl R
Form 280.1 7862-Toot J. Hunter
RECORD OF INSPECTION
Foundation I/ Frame
------------- -- ----------
Stucco ------ - --------- --------------------------------- --------""Finish —------------------
Elect
---------Elect 51672 4-21-60
Plbg 37028 4-25-60
Gas 52090 4-25-60