34585ids L o T .12' 7
CITY OF SAN JOSE L - BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Dafe/y 6
Application is herebyTade for a permit to�-------------------------------------------------
a rw T.,r, - ---------------------- Building
to be occupied only as 1.. -------- �-:- ---------
in accordance with Plans, Specifications and Plot -plan filed herewith.
�AO G
Estimated Value of Improvements, $-/.-- / .
It is hereby agreed that the requirements of #hewn Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, end 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 m{nne/so as. tpr'violate.j•he workmen's compensation laws of Celiforniao . / e/
Form 280-1
RECORD OF INSPECTION
Foundation ..�G Frame ---_
Stucco ---------------
s Y9 03
Finish --------Z/' Gi