32009-San Jose&YQF SAN JOSE BUILDING DEPARTMENT
�...� APPLICATJON FOR BUILDING PERMIT
8 septa -
'Date .............. ............ ......:...195........
Permit No.. -
bUld
Application is hereby made for a permit toA........................................................................
-------------- story, Type....C/ ... ... >" --------------------------------------------....Building
Lot No. %3 Fair; 0 0 Tract tTo. 2533• :;an Joace Calif.
at.................. ..... ..........------........_------...-------......-------......----- -------------....._---------------------------
one ?a>Yi � ---- .
tobe occupied only as.......------....... ............. .....................-------...................:.
in accordance with Plans, Specifications a d Plot -plan filed herewith.
/ PL:u7 t:o... s..
Estimated Value of Improvements, $% ... J..,.......
If is hereby agreed that the requirements of the Sen 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 com-
plied 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,n as to'becdme sub•ect to the workmen's compensation laws of California.
110;',:.r a Ii1C. 2001 C rJ no =::oil
Owner.-.. Addie'ss....---------------------------- --
._........ ..:.
Palo +rltoe ..'alifornia
... ..
----.a......----. Address .................... ----^............--------......
By------------------- - - - - .... — - �~
C ntre }or, Aa set�U. I
frorm 700-I roe t.• JP'sr t(V 1-'�••"'\—...
RECORD OF INSPECTION
Foundation----�--- _AY .... ..74MW �jJ�O-- ------------------------------
�S�tu. ... ........---......................................Finish.------------ ........
10 B.
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