31286 908 Blazlr�&06d
CITY OF SAN JOSE '��' -' 'Lot #36 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
l 28(a
Date----------- --- --'---k-f--- -----:...195.7....
Permit No...... -------------------------------
Application is hereby made for a permit to..............15
...............................
a------(1)-----story, TY ------- -- ........ -----o------- ---------------------------------I-----Building
a+------------------ .... 011-k .
------------------------------------------------
-----------04k---- ..t---
to be occupied only as---- --)---- ------ - ---- -- -- -
in accordance with Plans, S is ns an lo -p fir wi
Estimated Value of Improve f-- --- ----- ------- --
;. hereby agreed that the requirements of the San Jose ,Building,,!,and Zoning
It Ordinances and all other
laws applicable to the construction, location, and so of buildings within the City of San Jose, will be com.
d
pl!. with.
, 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 workman's compensation laws of California.
Owner Wheatje.y.'Con ftr......0o,-------------------Address-----4112--- -----------------
6 ) Address---- ---------------
cct
ontraor, ant
Form 280.190 K/Slazi wood Wheatley onst.
RECORD OF INSPECTION
Foundation--......2.71n2:!--sll.../2-(-0.......Fa e..........
SfuccO........-----------------------------.................. .-.....Finish ..........
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