34501 (2) JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Dafez ------------------------ Permit No...3.enf,�61---------
A plication is hereby de'for a permit to 3�r _ ................................'o
_pa a To
for, Typ ...... ---- -- ------------- ---------------- ----- ..............................
777.asfory, 'T Building'7
4------7----- --- ---------
to be occupied only as ---- ---------------7
in accordance with Plans, Specifications and Plot-plan 4,lerhore
Estimated Value of Improvements, $/
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 i� the performance of the work for which this permit is ',C, ued/1h 11 of mploy any per-
'if
son in any-mannar th kman's compensation laws f --�! 1.
,�annar. so pri, to vio a a a we I r r
;f
Add .... ....
Owner. ....... ------------------------------- ress
............................
B ...... ......... .............. (................. ------- ------- ........
Contra or. Agent
Form 280-IL�
RECORD OF INSPECTION
/l- G o Qi�
Foundation .._./ D.... ....... -" .... -... Frame .... a�1-
Stucco .................................... - /�nii sh --.. 2-�.
---------------------------