32339 (2) b CITY--OF-SAW-JOSE
I -OF- A eJO
'CITY-•OF•'SA JOSE — •y----~~• --~-••-••- •------•--BUILDING-DEPARTMENT
ao .j 3 APPLICATION FOR BUILDING PERMIT
DEC 2
Date 'DEC ::... 19 i Permit No.3-1...33-_
Application is hereby made for a permit to........- .1-
a--......-•. story, Type----------- ...........................................................
.------- -----.--- -----------Building
at....... -- ... ;...... ...........-:rr--..... ...::-- - - :' _'-•- _ ----
to be occupied only as.......... ,^.—:=:::::i :;t.... :d:a'c :::r;' ; ::,. ........................
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated'Value of. Improvements, $1:�e .... .--.. pr
Itis 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 soas to become subject to the workman's compensation laws of California.
Address-------- ' :. _.
Owner-----"-:-' . --._ _- - --- -
�. �,. .. Address... ^
.. -
BY ---.....'--�' � , gas�_ •.. ....---.. .. --..._.. . ._�`.�..................- -----...
Contrector, Agent
Form 780.1
RECORD OF INSPECTION
•
.
Foundation--4/ /..3-
...—...... .....
Stucco...y- 2—
,P 39 27S