NO PERMIT NUMBER 95 q
-CITY-OF SAN-JOSE BUILDING-DEPARTMENT
.Uyr. APPLICATION FOR BUILDING PERMIT
Date.... D-EC
..Z..:---...., 19..:=�... Permit No---------_-------.....................
•
Application is hereby made for a permit to------
---------------------------------------------------
a........--------'..story,-' Type...........i................................................. .....................:--..... .---.Building
0:1U .
.I
;
.............. ... . ....
a t........................–t!-1-------
. ....................
.................
to be occupied only as........ RF:.:'1,:i 7
in accordance with Plans, Specifications and Plot" n' i6d"'
Estimated Value of improvements, $..Amn.............. P. *�-'. ._'...
It is hereby agreed that the requirements of the San Jose Building and Zoning &dinan—ce-&–Wh-dall.flier
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 so a, to become subject to the workmen's compensation laws of California.
Owner_.... ... ----------:.:.,.......... ....Address....---4.:I ......i-----r.............. .Vz�---------
BY------------- .........................................;�.................Address........=z. ...............
Contractor. Agent
Form 280.1
RECORD OF INSPECTIO
FourrBa+ion---/.L-�F--"-'v-F�„"-"...-- ----------FSp'^e----'//(J -- ---------------------='-'
S>/co
+ co----------------------- --------------------------------------Finish---:.y��3 0 n.✓n .�_-`-----