31286 916 tlftzlAgwood
CITY OF SAN JOSE Lot #37 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date--------------7- -�----71.1 --.--195-9... Permit No....
Application is hereby made for a per it t .............................................
.....story, T a ------ -----------------------------------------------Building
at.-'---........ /...6....--------------- -- ------- I ------- ------- -- --- -- -----------11z- -
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----------
--- --------------
to be occupied only as...Cl.. - -- . .....
in accordance w A -Fica'f n n of an rewith.
Estimated Value of Improvements, $-9)00-0..-------
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be com-
plied with.
, certify that in theperformance of the work for which this permit is issued I shall not employ any per-
son in any manner so .1 to become subject to the workmen's co t mpensation laws of California.
Owner- e-atley----CQ t..r.—Go.a.----------------
---Address....4112 .El---tar(iir1Q-'-V8Y-------------------
17— --------:i7---Address.... ------------------- -
to/r� gent�n
m 280-1 91 Bla-2- 0
/,Contra to/r I, wood 9-S Wheatley
For z gwood
RECORD OF INSPECTION Q
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