NO PERMIT NUMBER 869 +Uarc116t400dLot,l6�
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING: PERMIT
Date-February 2!1 .....................
............ .. 19--60 Permit No......................I.......--' ..
Application is hereby made for a permit to.........construot
a---5!rlgle---story, TY ---- reui.d.en9.e...-'- Building
at.........-%l.... -- �-''1 .........:......................................................
to be occupied only-
nly as-----......ging —anLly„dwelling ..............................
in'accordance with Plans, Specificat- Plot �e, ey� y
Estimated Value of Improvements, 0 � , V' v v
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 manner so as to become subject to the workmen's compensation laws of California.
Owner... '......a ,--ey-_Constr
BY r � .....-..Address...Palo Altos Calif2rnia .,
Co actor, Agan i
Form 2001.
869 Uandlewoo Wheatley
RECORD OF INSPECTION
0
........ .............Frame-4�,24.
stkc..................................................
................... ..........
19- 76