32009' CITY`OF *SAN JOSE- BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date ..... cPt•......................_-•..195.__ Permit No..
Application is hereby made for a permit to ....... L.:h4.
a....... 1.4 "•--- story,
to be occupied only as.. ... 2-t!"Vf neer »_.- n •:
in accordance with' Plans, Speeficetions and PI - filed herewith.
Estimifed Value of Improvements, ;�........:..................
r It ii%irebY i4mod road }hat fbi'isquiremints of the San Joss Building.end Zoning Oidinances and all other
laws epptluble to the cons}ruefion,location, and use of buildings within the City of Sen Jose, will be eem-
plied with. S"' - i
I certify that in the poiformanai of the work for which this-perinifiiissued I shall bot employ any per-
son in. any manner so as to became subject to the workmen's Zim,F4nsiflim lives of California.
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Contractor. Agent , - ,-1
Form 710-I �. u .. .:•:l� - ` .. '�...--\.
RECORD OF INSPECTION
Foundation --r .... : Frame ----.i ---------------
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--- Stucco-----.. 7-11fr A? S'
.......................................... . .......... F In I'S H..77-27.