33039 4(" tALd AtJ._.__WESTLYN #2.TRACT 2168
CITY OF SAN JOSE BUILDING DEPARTMENT
/ , APPLICATION FOR BUILDING PERMIT
Date.......'7". --
" '------- . ... 19..�?G�.. Permit No..33.03. ..
Application is hereby made for a permit to-------CONS11W.CT...............................................
a--------\.. --.story, Type -- ---�-3'---------------------------------------_............. ............ `------..Building
at.. z .....�
+o be occupied only as------------- -----
...---....----..........---....--------'--..._--
" -5-.................. ....................................................
in accordance with Plans, $pe i ications and Plot-plan filed herewith.
Estimated Value of Improvements, S..r1
It is hereby agreed the} the require r s� the S re it ' g Oning Ordinances end all other
laws applicable to the construction,. location, end use of buildings wi}hy of San Jose, will be com-
plied with.
I certify that-in the performance of the work for which this permit is issued I shell not employ any per-
son in any manner so as to become subject to the workmen's compensation laws of California.
T LINDSAY, INC. 1300 EI Camino Real
Owner......-..C6AUPE T. - Address. -' 16--------------
Menlo Park, Californi
g . � . �1�R..a� �.-..Address.................DA:-3=49i$----------------....-_...
Contractor, Agent
Form 260-i
RECORD OF INSPECTION
Foundafion..q:!:?�t6�..... _.....Frame...
... .............
Stucco....................................... .........tz.Finish
........................................................................
'Y 16