32339' (O059
-CITT•' OF SAN OSE'- .'.0 """-'"""'--BUILDING"DEPARTMENT
?o� J�MAPPLICATION, FOR BUILDING PERMIT
DEC 2
Date..... ....., 19...r:3... Permit No.. �
- - -3 - ----....----
Applica+ion is hereby made for a permit to..........!... 1 a................................................
..a--a..-----
----- ------story, Type............n---------- __:-:._?---......._.................-............-----------....__.Building
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f
to be occupied only es-------. a.;-,-, : .. •_. _ ....................................
in accordance with Plans, Specifications and Plof•plan filed herewith.
Estimated Value of Improvements, $... 1.ODD.--
.44
It is hereby agreed that the requirements of the San Jose Building and 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 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 as to become subject to the workmen's compensation laws of California.
Owner........, :.......:,- '•.,.. �n^.7 i:-'_.DR....:n?e........
---a:,---- ............................Address----....::.`-------`----
r
\`. n Address..._-......• .7_^ ? '.n. :1' _n_nia
Contractor, Agent •� �
` 2
Form 280-I ^y^� i�--,__may-• ✓
RECORD OF INSPECTION
Foundatioyn...`3--_Zq .- Q- !Ji � t Frame----y------ --------------------- _.
Stucco-- �( e4F Pc------------------
34c
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