38666 T OF SAN JOSE BUILDING DEPARTMENT
APPLICATION' 2 FOR BUILDING PERMIT
Tract No. 62-Lot No. S7 ---- -
Date----------------Z�---—----//---------.._, Permit No.5_-.1. .. .......
Application is hereblymade for a permit to .... ---------------- - . ...............................
.... .. ..
a.-.----/......story. Type,/, 14�5........ ------ -------- - .... .... Building
Use'Zone
at -------`1--x--3.-1... - - - - --l-14—oc—'A r"'
to �)ccupied only as ---- _ -- ...../C__ 41 r *U'p 7al
in cco da cje *ll� I n -)Ia]n)��d herewith.
I ifi fi ins Plot
r a_'
Est L'e Value of Improvements, . .........
It is hereby agre 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 manner so as to violate the workmen's compensation laws of California.
Owner Address ---- ---"_ ov_AQ "
Contractor L�r
V� . . ...........Address -----3. yjk"'
ByAgent 0,.V
Form 28+0R31-75 Miller Davis-Graham
//RECORD OF INSPECTION
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$+u cco -------------------- -� ---_ Finizh .%'G .-G