37597 1146 gv� '04 A6
CITY OF SAN JOSE %bI6Ik8WA1kTMl'EN1 -
T6
APPLICATION FOR BUILDING PERMIT
Date I---- ................ it No. 77
42/2�...... 1942� Perm ..................
Application is hereby made for a permit ......................................
—--------------------------
..
--------/-------story, Typ
-------------- Building
----------
to be occupied only
in accordance with Plans, Specifications and Plot-plan filed rewith.
O
Estimated Value of Improvements,
If is hereby agreed that the requirements of the San Jos. 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 PTforrviance of the work for which this permit is issued I shall not employ any per-
son in an man"ar s to viol a the workmen's compensation laws of Califo 'a
n . . .. S�
0 3e, 4 A.'ll'C 4�----- If _/------
- ------------------ ......Address,/ --
------------------/.................
:nl:�-----------------Addrels. ----- -
B
Confracf, Agent
Form 280-1
RECORD OF INSPECTION
�Fo3unda "LFrarna------- 0"Aa
stucc-o� •
------------------------Z--- Finish --------------------- 6
- -------------------------------------------