32066 862 Lily z_//7 1171/6-11/ 41�0� 4_19i4_2we�
CITY OF SAN JOSE BUILDING DEPARTMENT/
APPLICATION FOR BUILDING PERMIT
Date---' ............. --- Permit No....3-,;:p a(0(0
--------------------------------
Application is hereby made Jor a permit .......--------------_:..........................
a ..bfory, T pe-..'–,v------........ —---------------------------------------------------Building
------------/"
... ......... -----------------------------------
at................zw; – D........................
to be occupied only as---..... ------ I_Avg:------
----------------------
-
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements,
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and .11 other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be com-
plied with.
, certify that in the performance of.the work for which this permit is issued I shall not employ any per•
Bon in any manner so as to b come subect 0 the w rkmen's compensation laws of California.
Owner_ - --- ------------ - ----Acldress....F_fr�.5 az..
00
By----------- . ...... ... ... .... 4,�4eteA.....Address---------- A --------------
Contractor, Agent
For. 280-1
RECORD OF INSPECTION
FoundafionjZ-2..
-----------------------------
S�--------------*------------------------------------------------------ ..............