33364 (2) fi08 R666 13166A&A
CITY OF SAN JOSE 4 D7 C/- BUILDING DEPARTMENT
APPLICATION .FOR BUILDING PERMIT 901
Date--------S�-/O_ /no- Permit No.... ... ........
........................ 19_4 3
Application is hereby made for a permit'to ---- -----------------------------------------------
a-----------/------story, Type--J—/-- ..........��22 ------ Building
at ------9Pf--------l?,0-5-6--------- ...............0 km
to be occupied only as ....i---
in accordance with Plans, Specifications and Plot-plan filed he(ewlith.
Estimated Value of Improvements, $---- �. _n-----------
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 , sas to violate the workman's compensation laws of California.
go
.. . o;......... .
Owner .....Address
By
---...-----.Address ...... ........
Contractor, Agent
Form 280-1
/ '^(�,RECORD OF INSPECTION -
Foundation C:.: 7-�efJ_i(l- it 1.-_- Frame .r'.-.y- S -I
Stucco ---------------------------------- - -..�L Finish
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