32285 04 Caftdl0w60'd
CITY OF SAN JOSE ' ' LOT 87 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
-DecDate. -
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1��eT9.............-' 19--"'5.9. Permit No...?.Z.Aniff..11)--------
Application is V heere6y made for a er it to. cqp r.40. ...............................................
a..Singli----stor T e, -- -- --- -----------------------------------------....Building
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a+..........9.0.4 --
..Ca ------oww -D! 1pse San. -e-,0a os .............................
to be occupied only as......Single.1 'I ..
.................
in accordance with Plans, Specificafic Onlof-planMfilod herewith.
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 manner so as to become subject to the workmen's compensation laws of California.
Owner....WhPAt1-V..jCQnstxuction...C-Q.....Address.......U12..E1--Cami110WV...............
By------------------------ -----.....--------....--------------------- ...Address.....Falo..Alto-j,..Calit .....
Contractor, Agent
form '164 Candlewood Wheatley
RECORD OF INSPECTION/
Foundation...
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