33497 (2) 67 Stelling
CITY OF SAN JOSE Z BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT ?0y/
Data- ....................... 191.0- Permit No.j-�--(71--1-7-----------
Application is hereby made for a permit to -----bcp------------------------------------------------------
a--------1-- .....story, Type_y:------6.24 ...... -mow-..---..... Building
at --------!7.49_7------------ 0,4 L)
to be occupied only as AC5
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements, $---- -------------
It is hereby agreed that the requirement, 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 maimer -�o as to violate the workman's compensation laws of California.
Owner
Address ------------- -- -_-
lam ......Address ----- ---�49-paltA.......
By Mf
Form 280.1 901gnlraloreteej ling Palo Alto Dev.
RECORD OF INSPECTION
q r/! -62.
Foundation -7- -lid'..-/1/.. .GGv�k,----- Frame ------------------
Stucco --------------------------------------------------------------. Ff finish /0-�3 (od f�1�J�' GI S