NO PERMIT NUMBER (2) 9 AI7r
CITY-OF"SAN JOSE•- __ BUILDING DEPARTMENT"
LOT 1/6 APPLICATION FOR BUILDING PERMIT
DEC 2
Date..- .: .^....---- -
.......195... 59 Permit No-----------------------------------------
Application is hereby made for a permit to..............t>uld
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a----- o ;c story, Type...............f------CYAJ7 [./.......--'----............Building
rot ::a 11b ;'c.-r rave _ Trtic0 .+c. 2�,;5, J_i IF -4J _l.a---.
a+ .... ""----- _------------------------------------ --------- ........ cc :
to be occupied only as............ ze c:......'.- U .....................
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $..I.. .O.QO.:."-._--...
It is'hereby agreed that the requiroments of the Sen Joie Building end Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be com-
plied with.
I cortify 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 become subject to the workman's compensation laws of California.
:1 iiJ.: I:i. , Address.......-----°.`•... .....-- ...
Owner-------...:\------_............ .. ...............................
1� ��, P-2 ,`co .! • :o:uin
i Address---:......... ------------------------------------
----...-
Contractor, Agent '�'•, f5 �i
Form 280.1
RECORD OF INSPECTIM
Foun
./ri o n .............../ ;;;;?41..........
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�Peco....................................................................Finish.....