32339 -CIT-Y-OF-SAN--IOSE—-------..----BUILDINO-DEPARTMENT
LOT jog APPLICATION FOR BUILDING PERMIT
Date-, DEC 2---- -- 19...:: Permit .............
Application is hereby made for a permit to-_..--... ;.1 11-e----------------------------------------------------
a..... story, Type.................. .......................................................------------------..Building
Joe....... ...............
to be occupied only as----... :c.....................................
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements. $.OQlo........
1+ is hereby agreed that the requirements
as aof the San Jose Building and Zoning Ordinane—
Wd_a(l_o_&r
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be com-
plied with.
I certify that in-theperformance of the work for which this permit is issued I shall not employ any per-
son in any manner $0 as to become subject to the workmen's compensation laws of California.
...............Address.-- 'n--!......a---
Owner........ ...........
BY............
.................Address........*.In. .....A-t
............
Co6fratifor, Ajent* nse
F.,. 280.1 ':.- 11��10 --� c"Q
RECORD OF INSPECTION
Found ation_ '.._z_Q---1GD.N�/ -x._.Frame_--7--- :_Z-�-'-- v- ✓fit-----
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