32066 7875' Ltily
k.._/ (5?1 119W"K4e�_
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date....... .............195-- ---- Eerroif No._&A_0_(P.(6...----------
�_7 IF/W............ _-_----------- --- -- ---
Application is hereby made for a permit to--. - -------- .. ....
xul................Building
a-- ---------/------�tory,.Type.... .....I....... ---------------------------------
at............................................ 60........
to be occupied only as.......... 797S- Z)"
----------------------------------------------------------------------------
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements. $......1_2.j�?�
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 any7annoy so Y 60 Me S 6ject f, fT.hn workmen's compXe 0 lar, of California.
Ow ---- - ---------------Address------
By................ -------Address------ - --- -- ---
Contractor. Agent
For. 280.1
RECORD OF INSPE;C7
ION
_/,?�
Foundafion...... /(.a
.........................................
rL
s>cco------------------------------- -------------------------------------Finish------------- 9
. ...............................................T...........
op,
L