37309 (2) CITY OF SAN JOSE -46 66 - BUILDING DEPARTMENT
l �APPLICA ON FOR�ILDING PERMIT
Def L l.....-`° --------------------- 19...`.v Pgrmi# No.J 73 -p--------------------
'
- -
Application is hereby m� fo a permit 6% ......'------------------------------------------------
a
-------------------------------
a--------......story, Type- ---. -- - ' ' - - ---- '-- . U------------------------------ Building
at ---&.3.° ...STE 1a��--]--- -'
to be occupied only as /7 .-7 .�'�r•
in accordance with Plans, Specifications and Plo-llanjiled herewith.
S
Estimated Value of Improvements, $/..1....................._.....
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
r
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 ien aar7so s fo viol fhe workmen's compensation laws of Califor 1
.....Address -./
- =-%✓S CA f'-....'..-.. -�' ..Address ----------------------------------------------------"'--------
Contractor,�enf
Form 280.1
RECORD OF INSPECTION
n ...- - _ I O / G�Fme _ -. --- �----Founda+io
---- ----------- ---------------
Stucco