37309 (2) tt�o §t6ltlho) I
CITY OF SAN JOSE ��Ir BUILDING DEPARTMENT
APPLICATrd' FOR WILDING PERMIT
-
fat s�e -----------_------------
191 L..;.. 1.7
Permit No.3_ j
3_ __�.................
Application is here6v made f a permit to---- ---------------------------------------- ----
a------J-----story, Typ__ --------------------------- ------------------------------------ Building
at ----1J__e2__Q......
to be-occupied only as/07....
in accordance with Plans, Specifications n_d PDl6in fi Ide Wer w6y
Estimated Value of improvements, $ZS;.111._S"_.0...........................
If 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
compiled with.
I certify that in the performance of the work for which this permit isissued 1, hall I employ any per-
son tviola} the workmen's compensation laws of Calf.rn
0ddress
By .Address ----------------------------------------------------------------
Form 280-1
RECORD OF INSPECTION
l a—/o'd. /
Founda+ion -
----- - Frame G �-
Stucco .f - a--LL _a.G../Finish