32132 78b�. M�cieii�
CITY OF SAN JOSE '' `' BUILDING DEPARTMENT
`APPLICATION F BUILDING PERMIT
2
Date--- /41— ------*...... .-195.. ...,.. J3` Permit No.... 1J-w-
Application is hereby male fo a permit +o...../r>1. . ._. ._.................................. ..........
a----------"f----story, TYPe-- -t---- ... ---- -- - -- --- ----------------------------....Building
at------------------------------------- -g�. _....: -� - -... .. W------_--------------------
to be occupied only as------.�.. --C--:---- - -.- --�� - � -�6.L/1�
---------------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements,
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 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 m or sa as to bac,, a sub�J'ect t thew kman's com{�arsetion laws of C lifornia.
Owner = ' E [G c.Q. Address..0-- 4.... . ..... ..
a tL p
1
'GGK� - Address..... - .....By............. . . �f
Contractor, Agent `O
. ' Form 78e-1 ��oV O
/ RECORD OF INSPECTION
Foundation.....
Stucco.........................................._._—---------------F1 sh.21gl�-- - -
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