32905 1152
CITY OF SAN JOSj2, BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
.............. 19_6-a Permit No-------
Application
o------Application is hereby made or a permit fo,%�------------i--------------------------------
Building
........ --- ------------- ------- ----- ......
a----- story,
at �
...........
to be occupied only as
in accordance with Plans, Specific Plot- Ieer
A10
Estimated Value of Improvement�t5�
------------------------------------
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 man or so t iolafe the workman's compensation laws of Cal 2 ifornia.
A J'
/212 ("Ac1dress/,0,/6_
Owner/ ---------�./
....... -------------------........ -------
7 Hunter
B Adclress�.............. -----i-----------_--------------------------form 280.
RECORD OF INSPECTION
Foundation ------fi� 49:661��r.
----------------------------------------------- -- Frame
S,fteee.—------------- ---------- Finish
J—/V7 2—