45987-F (2) 1160 Stelling I
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
12�_I__� Tract No..-'- '........ No........... .............
Date....._............. ............................ I rmif No...
9 ........ a 417f 17'�667r
age miff..fo.,20 . ...................................................
Application is hereby made er i to .
Lstory, Type__�rA.. ................................... Building
-----------�160 Use Zone..7�a........
............ 10...........
.Xa AV6�0ncguSppaacy----- ..................
to be occupied only as ....c . . .... .._;e ,,W
in accordance with Plans, Specificafiori5and Plot-plan filed herewith.
Estimated Value of Improvements, $...2S u.................
It is hereby agreed 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 person in
any manner so as to violate the workmen'A compensation laws of California.
Owner.. C dress..L�....
.........t.....Ad
By Agent....... ... ..... ---------Address..... 529.f�t!A=....................................
... ............
. .............
1160 Stelling San Jose Gospel Pioneers
RECORD OF INSPECTION �.
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Form I80.1—IOM—IL63