37039 7746 C6k6riA_dO_ C_ 1
CITY OF SAN BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date.-.. --------------------- 19,&.-/"- Permit ............
Application is hereby rD d IF permit to ................
a or a -----------------------------------
a----- ------story, Type ---------------- .-------......I--------- Building
at .......
to be occupied only as
in accordance with Plans, S, ions/an Plof- Ian ffieherewith.
Estimated Value of Improv a $ ,
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-
,on in anyna. compensation laws of Callforynii/.
0
r ----.Address / --------- -------
won .........
By
A--------- ......
_4S -----.Address ............
C..tr
Form 280.1
RECORD OF INSPECTION (�
Frame
S+ucco_/t.r-c� -7?.:t1 L6-�- -fir Finish2.'-----G[ . G1