33291C�*00 SAWllel etl6 tot 136 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date ------ may- 61 -------- -- ----- ------- -- - - -- -- 19--6-0- - - --
Application is here made for a
at
Permit No. ------ ,�.-- Z--t---- '--------
L-lq '
Building
to be occupied only as _..'_ngle- family -.d el 'ffng`
in accordance with Plans, p o7 ;Q,,Ofi herewith.
Estimated Value of Impfrovemonfs, $ - - -- ..
It is hereby agreed the+ 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 per-
son in any manner so as to violate the workmen's compensation laws of California.
Owner ?heatley_ -.. nstr--- tion__.Co -,- .Address ........_?112 El Oamino hTay
By ...
Address ....
.. .. -. Palo Alto
ntractor, Ag
form 280-1
RECORD
OF INSPECTION
Foundation Fume
StAco ----------------------------------
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Finish -Fn7-) = !t<%.---- /9:7 �,
7 2-4. 3
2y3 1--7 17