32339 i,/9 eo-a _
--CITY--OF-SA JOSE--••---•-••- •---'•- --BUILDING-DEPARTMENT
Grp oa APPLICATION FOR BUILDING PERMIT
DEC 2
Date....' --' 19 Permit No_?,. 3.3?..---"------
/.
Application is hereby made for a permit to--------- _y4....................................................
a.................... -
story, Type....--- �.............;..:.............-...---------- "
-----------------------------...... --........Building
one
---.-r-.. .- '-
to be occupied+only as.`._,3i ...;•::i:;::;.� d.':-:::_ t;. `„ -; ::.�c....
in accordance with Plans, Specifications and Plof-plan filed herewith. p
Estimated Value of Improvements, $.I7zQ.U2----_--_----
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and—ell 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 - - ...............Address.......r.-n. :...-` ' _-- --------
�� I.......Address--- _
y
' Can}rador,"Agent ,� r �7 �� °'
Form 380.1
" ;
RECORD OF INSPECTION
Founds#ion--:7.. me- I- _�.:(f .a, / l��"!ul-FraS �.�..�! Q /✓✓r/LI�,. _.....
L �✓l..wt ---.. nish..-- .....`----pfd N RO�Gctrn�l•L
Sfucco-----J-.....�..�...- - -0 ----• -` ---Fi17—
.36. 27s-