33291 CAOA
CA OF SANth6iAW6JOSE6-d Lot 1�� BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date....-----May___6_)..........................; 19......6.0. Permit No.3.. ------------
Application is here�Xb -------u------------ ------------------------------------
_rnaclo for a permit to ....Construct
a single-.story, T o- _ Building
a _ .:, n.c .
at ......6_3_, -..- ------- -- - - -- -----
to be occupied only as ------girigle.t.amiLy dwelling
in accordance with Wn, pecificatio WnP o -_p�n J led herewith.
pr a
411
Estimated Value pr emenfs,,0�5�, --- ----;,;/.01--
It is hereby agreed that the requirements of the San Jose BuiNfing and Zoning Ordiiiances 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 ldheatlei, Construct�on CO-Address .....4jj? .E1 Canino 'gay .........
... .............Construction--------- -- .......................................
By ----- . . ..... ... ddress ......P.al.o..A.Ito_--------------------------------
_7' . ...... .... ...
Co rac' Ae nt�
Form 280-1 r, Ag
RECORD OF INSPECTION
Foundation --Y�aC -6e... ...... Framel�_��-- -----.- - ?.--------.
St
aG o ----------`--------"----------`--------`---------- Finish P- a...
5p�? - aoiJ