33291 CIT OF Ath6Y11466d tot 1�2
OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
I
Date--------Nay--6-,-------------------------- ig.....60.. Permit No....... --------
Application is her made for a permit o ...P.Qn9trupt,............................................
aSingle...sf ory, ;a ---------------------.......... ...... Building
P
at .63 6..3
to be occupied only as 71)@l---1-a-,"1 :.Awelling
in accordance with P1 cificafio
- tl file
Estimated Value Y _(nfs,AW
_,0 At -d herewith.
1+ is hereby agreed that the requirements oftheSan Jos. �.Idi�g..d 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 the+ 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.
I
Owner liheztley---Cc2mstr ion-----C".-.Address ----L112---El-gamin---Iia.n......I---------
y . ....Address ---I'alo Alto
... ....
.......... ...... -
.......... ----------
Bc c
motor, Ago�
Form 280.1
RECORD OF INSPECTION
Foundation Frame ---------60,
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S ----------------------------- Finish
`�o ----------------------------------- ----- --------
635Vt -S
6