32339 (2) 94.1- J-ct� CL- ---� -
"CITY' OF SAN JOSE _.v _. �� BUILDING�DEPARTMENT
L'" 14 _ APPLICATION FOR BUILDING PERMIT
Dafe.... .�...`.. - ^......DEC-Z......--..195...5c -
Permit No.r. �-v3 C/
.--.... ...f--- --------
Application is hereby made for a permit to..........>L=_ .......................................................ti
-
a.----.Al! ---_story, Type....-----'1----..: r_ . ..---. .. - ------------------........Building
?a.,. r rnv� n 'r—at io. 25:.-_ ,,,_.c: _ ;, !:.a
at i nt:.._- ::...� ........... ............. - -------------------------- - '.��//---. .........................
to be occupied only as....._!.Mf...:::�� .T...ct e1?' -i.-'Y. ---e
.....
in accordance with Plans, Specifications and Plot-plan filed herewith. C 3
Estimated Value of Improvements, $12.11.00'.........-
I-,!,
. It is hereby agreed that the requirements of the San Jose Building end Zoning Ordinances and all other
laws applicable to the construction, location, and use,of buildings within the City of San Jos:, will be com.
plied with.
I certify that in the to
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 workmen's compensation laws of California.
...... ..... ........
riJ .Q
Owner-..:.�cs .,, , , u.,.. .Ad ress.......................................
i L --lo .Ito, ;orr a
1 ...... Address-----------------
Contractor, Agent V% y/;
Form 3e0-I ^r/
RECORD OF INSPECTION/
Fouefion.`/ �0 .............
lJ.. ..........--....-------------