32975 (2) V5 9696 8t6§96M
CIT
OF SAN JOSE BUILDING DEPARTMENT
APPLICATION TR.,BUILDING PERMIT
Dafe__�.....Z0......-`.................. I94YA4 Permit ..7-5---------
Application is hereby made for a permit to ..... ---------------------------------------- -----
a------1-----------story, Type- ----- ......... ------------ Building
at _40__t�------- ------3--L-
to be occupied only as ---/_ - ------
in accordance with Plans, Specifications and Plot-plan
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 pe rformance of the work for which this permit is issued I shall not employ any per-
son in any nner so as to violate the workman's compensation laws of California.
Owner
------------------------
------ !..Address ----------------------------------------
By .....
_Address ------------------- ----------- ----------------------------_
Co0tracto
�,Manl
Form 280-1 905 se ssom Loma Verde Const.
RECORD OF INSPECTION
go-aosr� /- -�-- 2e�
Foundafton ------- --------------------------------------------- Frame. ------------------------------------------------- -----------------
S+ucco ------------------------------------------------------------00i ch
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