35430CITY g4J6 RoLli'ndA6ii 33
F SAN JOSE p,<, i< D BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Z- 2/
Date ------- - ---------------- ------------ 19.!.... --- Permit No....... SSG3 �-----------
Applica#ion is hereby made for a permit to ---
a.,
-- :..`.?
a..---#orY, TYPe-- ----'-/2-es: om_✓c e-------------........ ---------
------------ .............---.... Building
7 `/ 9- G /Z -- -------
to be occupied only as--`°^ -
in accordance with Plans, Spec ificati: ons an4 Cptcplanher w( itfi. v�
Estimated Value of Improvements, $--- L-0_Oac,
I+ is hereby agreed that the requirements of the San Jose Building end 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 to as to violate the workman's compensation laws of California.
Ownerrrc:..-^m:------..Address -- '_a Gs-- Sa. H; -w fY 9
Address _A'w,. .%c)..c.
�
Contractoh!Agent
Form 280-1 -
RECORD OF INSPECTION 2
Foundation .---....�-� G� �---- "41 y 7 �1
---------- Frame -
Stucoo C� X 5.6....`f. -..'L/Finish C �'... `----
Elect-
56279
4-19-61
PLbg
40206
1-16-61
Gas
55174
1-16-61