32986 CITPY"%OF SAN'S�S """ BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT /35"
Date.. �--3_v------.-, 19--- _Permit No....--- --.q--
Application is hereby made for a ermif to ....-4 Z-----------------------\-----
s � r
a fort, TYP `- ------------------ — L TT..... A:!z.:__..... Building
of -----...---- �- --- --- ----- - ---- -- 3 to be occupied only as - -------------------- --------.
in accordance with Plans, Spec' i nsIQPfyfa�filgd herewith.
Estimated Value of Improvements, $__1L_ I�„�/,�V-------/- --
It is hereby agreed that the requirements of t e 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 bo
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
eworkmeenn's compensation law of California.. s
Owners �iY?�dt...-C - — Address ......--
-- -- --
r r
BY ---------- Address- ..-
on )r, in
Form 280-1 _
RECORD OF INSPECTION
FoundationS �a
..' - - l� l�(it Frame
51uo- -------------------------------------------=..----z---- Finish - n/-I -Ce®
L4
® 3 'g