NO PERMIT NUMBER (2)95 q
-CITY-OF SAN -JOSE BUILDING -DEPARTMENT
.Uyr. APPLICATION FOR BUILDING PERMIT
Date.... D-EC
..Z..:.--....., 19..:.-r...-- Permit No --------- No.------_-- .....................
•
Application is hereby made for a permit to ------
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a...-'-......:..'..story, : Type ........... i .... -------- -------------------------------------------- -----------....Build
ing
I0:1U�;i 11)
....... i;Uu --- i��-_17 --- TFT---- L
to be occupied only as... ...;YRF:.:'1,:Ki,1`;:-7 ... ziviunuz .............
n • 6d
in accordance with Plans, Specifications and Plot- Aii
Estimated Value of Improvements, $..Amn . . .......... ..
P�- . 5 —
It is hereby agreed that the requirements of the San Jose Building and Zoning &dinan—ce-&–Wh-dalI.flier
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be com-
plied with.
, 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 a, to become subject to the workmen's compensation laws of California.
Owner ............ :... ........ :.- i� .... ......... . .... -- --------
................ Address ........ .......
11 J
11,11 �
By -----------'1\..... .... ........................•........ ^ooru55 -----------
rt
contractor. Agent
Form 280-1
1 .1,0
Fou, da ion--.
S>/CO
+ co-------------------- I Finish-_:.y�� 30 n.✓ --------