3435074C, W�jj "JOSE'/o�L�N L BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date--------------(' 7: ... 2---7------------- P�eFmi+ No......3 .5�--3---
Application is hereby made for ermit tom- ----.' -------
a -/ -storv. Tvoe.------------------------- Building
at
G L�
to be occupied only as
in accordance with Plans, Specifications and to -plan filed herewitK.'
Estimated Value of Improvements, $--- .- ®a ��
D_d - - _-
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
complied with.
I certify that in the perform oce of the work for which this permit is issued I shall not employ any per-
son in/any
/� a n(/e///�o as to ,olate thtJhh workmen's compensation laws of Celifo la.
4- --------- 0/..._
Coqtfaictor, Agent
Form 280-1
RECORD OF INSPECTION
Foundation------- .- ...- ��
---------------------------------- ------------- Frame ----- -------- --
Stucco--------------------------------------------------------`-/Finish