Lot 83858 Cdridlewoodot 83
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date---- February --?4 .................... 19_6.0 ..... Permit No ...................... ................ -
Application is hereby made for a permit to... ... c=struct..............................................
at .................. d..-=-E.--"C_.%WTLXj r:
to be occupied only as.......s' a..fa
in accordance with Plans, Specifications
Estimated Value of Improvements, $....
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.
I certify that in the performance of the work for which this permit is issued I shall not employ any per-
son in any mannor so as to become subject to the workmen's compensation laws of California.
Owner.- tiwneale -vnr.2 r--caress..--.,,ax.�c.._-a...
-- y . - -- A
i .JJ___- Pa]n/Alt
Form :O58 Candlewoo�r' Wheatley
RECORD OF INSPECTION
Foup4a ion --- /4/0 ................... ..... Frarne--i.— 7 /-
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