33291 ClW9S Ah6�11,4666 Tot 148
F ANtJOSE -BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT aa
Daf a------Xay__6_,,_w---------------------------- 19-60------ Permit No.----- ..Z-L..�
Application
o------
Application is hereby made for a perm'
to ---aanztruct---------------------------------------------
a---single.sfory, T --- - -- --- L I _i----- -- ----------------------------------------- Building
at .4.332.5"-- -- -- --------- --------- ---------0 .
to be occupied only as ____jngjg..fajnilY dwelling
in accordance with Pla S,, Specifications and Plot-plan filed herewith.
, I p
Estimated Vali its
it is hereby a, �t hbi r 0 nu iir:m a Zoning Ordinances and all other
laws applicable To the consfru� ion, location, the City of San Jose, will be
complied with.
I certify that in the performance
rformance 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.
I
Owner' h.e-at.ley.---Q).n.s,t.r_u.C.tic_n,_Co..*-------.Address ----4112__�.l...QMUiaQ.YQY__1.............
................ .. ....
By .... --- ----- -- dress ----P81_Q_A1t_o......----_-------------------------
C
Q..._----_--------------C ra.f.r. Agent
Form 2BO-1
RECORD OF INSPECTION
Foundation r�fAn�:.q--- Frame
StW��o -------------------------------------------------------------- Finish 97f7o?
---------------------
vii 0-