31286 902 $lazingwood #35
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date-----'--------- - J...
-' .f
...195.. ..-.- Permit No.-3-.. ;'Tr
'Tr.........--
Application is here6 mad for a permit to............ . . .
a.----(1-11'_story, TYpeb-- ... ... ... . .......------I------- _ Building
- ---- ...�.�/��..............................................
to be occupied only as...��..�------ - ---- -- — )-----.. M...r� ....
in accordance with plans, 5pecI ation nd n?.nW.,a8ZWdanc
Pllot�Ian filed herewith.Estimated Value of Improvem is If is hereby agreed thatthee .smartoftheo/, rS.finances andall other
laws applicable To tha construe}ion, location, end use of buildings within Than 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 as to become subject to the workmen's compensation laws of California.
Owner. aatleu tr..---C. .......... Address------ 1�2---E1._Ct !!3no-Way........------..
By ..� .... . . . . .. .....
..Address.-----elo-Alto1._Q01if A-----------------
ontracfor, n#
Form zeo.l 90 Blazi gwood - - .i Wheatley
RECORD TI
OF INSPECTION
Foundation....---. ......Frarneef!:...
Stucco....................................
........... .........
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