38206 (2) OF SAN JOW""""- WAY BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date---------- 19----........ P rmit No._3---F
Application is hereby made for a permit to .2_3�--------------- ----------------------------------------
story, Type3�7
-------------`-------------------- ---------------------
Building
.
to be occupied only as /elf--- ---- ---
in accordance with Plans, Specifica ions and Plot-plan filed herewith.
Estimated Value of Improvements, ......00_0-----
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 performance of the work for which this permit is issued I shall not employ any per-
son in any manner so as
to violate the workman's compensation laws of California.
Owner )Al,-.-.P ------)A1e� "__ 1*7'7_...Address ICI-,,7
irk `..............Aciclress/,04-4-----
f actor, A;a;+
'�c��ose Wa
By imr Se Wa W. P. Worsham
Form 63 6�T J� -
RECORD OF INSPECTION
FouCn4at2to, zt��... Caprame ------------------------------------------------------------------
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