34585 (2) 1661 'it 31.0 t 6 6�iS_g III—_t2 J
CITY OF SAN JOSE DEPARTMENT
APPLICATION Fj',R" BUILDING PERMIT
D Z o Permit No......
afe. Or..... --------------------------
Application is here"bde for--q permit to ----------------------- --------------.........
story, Type� --------(�_�J Building
----- ------------ -
/---------- ----—--- --- --------- --------------------------------
t ---7,s I_--------
. �2
to be occupied only as . ..... ...2'�_'.'r
. ..........
in accordance with Plans, Specifications and Plo P file
Estimated Value of Improvements,
It is hereby.agreed that the requirements of a n Jose,8 uild in gand Zoning Ordinances and all other
laws'applica6le to the construction, location, and use of buildings .within
;thin...the City of San Jose, ill be
.complied with. I
I certify that in the perforMance of the work for which this permit is issued I shall not employ any per-
son in any nor so�a I hwork//man'ssation Is Of Califo
,,,t�oioato the compensation
7'a
41. ..... ...Address/ ........ . ............... .
................................... �---- ---- -
.. .........._Address --------------- ...... ....
...........
ContrA'or, Agent
Form 280-1
RECORD OF INSPECTION
Foundation ....Ar>
------------------------------------------------- Frame ---
-----------------------------------------------------
Stucco ---------------- ."?
---------------------- ---------gv,'-'�Finish .............
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