35702 (2) CW a0lfi JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date------3 - -.3 Permit No..----
.2 --------------------------- 14/
Application is hereby made for a permit to /4-1-W----------------------------------------- -------
a--------J------story. Type..7,477'... 014_162�... ---------------------- Building
��4"Qw� er 114 CA a/ 2 C4
at -8.83--.._T 10_X_L)-------I 1'1 �
to be occupied only as j"c-i4m,----------
in accordance with Plans, Specifications and of-plan filed herewith.
Estimated Value of Improvements, $--- -- -----------------------
I1 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 w,thin 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 manner so as to violate the workmen's compensation laws of California.
-- -------
Own ----------Mdress 39-520 Y& ---
By ----------------------0......_t-o __A....nt-------------------------.Address ---------------------------------------------------------------I
Form'2MI '889 1?acn A& James A;,40bftt 40':z,o
RECORD OF INSPECTION
Foundation ---------- -------------------------------:---------- -- Frame
Stucco ----- --------------------------------------------------------- Finish ---