37295 7466 Raihboib
CITY OF SAN JOSE TV_C 12 .2 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date-------------------------- �- ?- 19_ Permit No. 37 -�
/ - ---------------
Application is hereby mad for a permit to ......I&V---------------------------------------------------
a----------Z-sfory, Typet�----��---- ... ------------------------- - ------- Building
to be occupied only as i/� '/GR
in accordance with Plans, Specifications and Plot-plan filed herewith.
3 ie4 O -
Estimated Value of Improvements, $.............. ........................
It is hereby .agreed that the requirements of the San Jose Building an Zoning Ordinances end all other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be
complied 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 violate the workmen's compensatio¢..Jaj%eCalifornia ((.5 p�•
Owner A—W:---23.B.l .:._ - -----.Address J3� ��S J/—� -----------------L`...
By ..... .7 - - - ... - -- .Address — ..-.-_--------------
con%6rSARn�inbow R• W• Bri
Form 280-I - gqS
'RECORD OF INSPECTION
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