34585 (2) J498 8tAht6M AoT � .27
CITY OF SAN JOSE A� BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date. _r------ ......... 19_( 0 ,
--------- 6...... Permit No. ---------
Application is hereby-p4de a permit to ----------------------------------------------------
---------story, Typ -------- --- -- ---
...... ---------- Building
----------------------------
X24
- -- ---------- ---------- ---------------
to be occupied only as ....z-------
in accordance with Plans, Specifications and Plot-plan filed herewith,.
Z��er7 5;9 --
Estimated Value of Improvements, $/----- ,---------------------------
It is hereby agreed that the requirements of the San Jose Building end 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 nn so 75 7t Y lolate the workman's compensation laws of Califor 'a.
Wan,_ a,,:
I 0�� e( -?<49'0 V------------ ...`Sr.:-_ --- ----------------
..............Address
By, . . .............Address ... ....... ---- ------ .............. -------------------
- ---------------
ontractor, ant
Form 280-1
•
RECORD OF INSPECTION
2 3
Foundafion ------- Frame - ----------------------------------------------------------------
2
Stucco ------------------------- �P-,,/,&,, 7/
--------------- ------------------- - --------- -- - ------- -