31286 878 81dtlhgriood - -
CITY OF SAN JOSE Lot #31 BUILDING DEPARTMENT
APPLICATION. FOR, BUILDING PERMIT
P N 31
_195_ L e 0.........................................
..7_ _.?,
Date----------__- .... . .I........
Application is hereby made for a.,Eermit to------ ...........................................
a......(--) -----story, Type..., -------- ......Building
...................... ................
-T-2at.--------------Q. ----------
to be occupied only as..... ... .... ..... -----------4 Is
.... ... ....
in accordance with Plans, Specii icafflons and Plot-plan fi d herewith.
Estimated Value of Impr
�& K/ndZoning Ordinances and all other
It is hereby agreed that: - 'Mer-ments?rt?an Jose Buil
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be com-
plied 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 asto become subject to the workmen's compensation laws of California.
Owner--- eatley-VQVr_.. C-0...................Address---IL12,2E . .. .no.ara . --------------
...Way...
.........Address..Palo Altoz Calif. ------------------
�onfra_oar�JA .7
4
Form 280.1 871amin _ Od 59 Wheatley const.
-RECORD OF INSPECTION
Foundation----- - ............................29.FpMO.9..
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