32677 7519 b6rri art Plr ,C
CITY OF SAN' JOSE �— BUILDING DEPARTMENT
APPLICATION /FOR BUILDING PERMIT
Dafe-/r..EILt....z-J------`................ 191LQ---- Permi No.------- -o.Z.Z........
Application is hereby made for a. permit to ///1----------------------------------------------------
a-----/..........to ry,
.................._-----------------------------a----/------story, e.. . .. . .. . ......... ........................................................ Building.
ate...75_l -- --- - � ---- -- --- F
to be occupied only as -----G ..e..;-----------
in accordance with Plan Specifications and Plot-plan filed herewith.
Estimated Value of I4, v +s,. $..� �nd
I} is hereby agreed ih a uiremanis of } e San Jose Buildining Ordinances and all other
laws applicable to the construction, Iota}ion, 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 a er so as to violate the workmen's compensation laws of California.
Owner �lo!U '-'0--- - - ==tai -`P�t4ddress
D � r I I � )
BY ..... - --.----......-.Address fy.F�N ...�1 e... _c ✓
Contra or, Agent GOY1St.
Form280-1 7519 nhart Pl. nson
RECORD OF INSPECTION
FoupZa+ion "-ru------------------ Frame ......;?.-.2.-J� -----------------------------------
----- -- -----
Stucco ---- ----------------------------------------------------- A