33291C1449OF SATEJOSEr - Lot 138 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date ------- ---Max -6s- -- 1960--- - - - - -- 19---------- Permit No. -------- 3--- 3.2-11 -----
Application is hereby made for a permit +oIr --- Construct ------------------------------------------
a .... $ln°ltlstory, TY68 eb� ie% Ye,/ --/ .--------- ---------------- --------------- Building
at
to be occupied only as _S..&, e - -- family_ dwelling
in accordance with Plans pecifica +ions / �Plof fi herewith.
Estimated Velue of Imp�v fem.rts $..1. �
It is her eby agreed th a re of the San Jose Buildinf 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 workman's compensation laws of California.
Owner - - -. J1tEatley- .G- nnsir. ttl 0 7 _CA...Address ..... 11712...1_Camino--- Way
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i
BY A- - - -- ---- - - ------ --- --., ddress ----- Palo.. Alto .... - ------ --------- ------ -- -- - - - - --
Co actor, Agent
Form 280 -1
RECORD OF INSPECTION -
Foundation hcl4r.4�pl- -N_-'G
Stu\`or--------------------------------------
C
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