33771 oT 81 TR zs39 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date--------.7_IY3-------------------------------, 19.ra...Q._. � Permit No..... 77_-..._-------
Application is hereby made for a permit to ----'(JLO - - -
a pNLc story, Ty
p
e- L ""------- -- .................................... Building
at ----�0q 0. Como"' H� L"�
to be occupied only as --- !rl.L-------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $------ }00-----------------
U
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 workmen'scompensation laws of California.
Owner ---------Address
BY -----
Address
Co tre tor, A e �ewFaran $ �2 C,
Form 2e0-11040 �o�on}� ills -��•
RECORD OF INSPECTION
Foundation
... Frame
Stucco ---------------------------------------------.............. Fil inish -- -------------� --�a —�-
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