33291CIYY"OF SA41J6I�1�661,1 Lot 133 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Dafe ...... Ea' --- 6- ------------------------ - 19 ---- sao_. Permit No. - - --- --
Application iX er by made for a permit to .- _.Cois trac--------------------------------------------
iPdnPle.story, 7- X41i - -- ------ Building
5S9i i'e71�,C /( /fLfGA���
to be occupied only as _single.- farily, dwelling
in accordance with P ns, Specifications and Plot -plan filed herewith.
Estimated Value of o men WO.nd �/��[s.-��
It is hereby agree at t req e AO Iding and Zoning Ordinances and all other
laws applicable to the con ruc }ion, loc of uildings 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 1 shall not employ any per.
son in any manner so as to violate the workmen's compensation laws of California.
Owner - .khC.ableY ... Canst•.. .tina..CD-.... Address _ - -- X112 ... Ey- .Camino-- lfiy._..-- _ - - -_.
By ..... -. - --....- ....Address P21D. -A1tA- ° - ....
Con actor, Agent
Form 280 -1
RECORD OF INSPECTION
Foundation A-7A2:Ao--
---- Frame
St4o -------------------------------------------- * Finish -3 0-:7 - ----
--------------- * .. 1---
.
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