35938 DEPARTiZOV
W10F ASVYJ%rS0EV0a"r.,,-.P' BUILDING
�2
7 > APPLICATION FOR BUILDING PERMI� J,:�-/_5_T�
Date----- - ------ 19---4.. mit No..._,.�7 ..YJ:1 ----------------
Application is hereby/made . permit to x�..... ...... __o__,---------
for --------------------------------
� q41Q.&O r /
a..... /--------.story, Type.......... -------- ---- - ---- Building
-- ---- -------------
at -----------------------6z4j...... -.1-- ----
to be occupied only as ------ -- ---2----------
in accordance with Plans, Specifications//and Plot-plan filed herewith.
Estimated Value of Improvements, $---
It is hereby agreed that the requirements of the Sen 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.
EJ r Ho WC
Owner ----- ----------------------------------------------------------------
...................Address
a -----..Address ------------------------_------------------------------------
0
0
BY ��( I_ .
Contractor, ant
Form 280.1
RECORD OF INSPECTION
F da 26, ---- Frame
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Stucco --------------- ------------ ev
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