33039 LOT_...':Q..........WESTLYN #2 TRACT 2168
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
O q
Date-.G ':../...................... IC'62).. Permit No.._..j... �
....... ..........
...
Application is hereby made fora permit to--------:.CQNSTRUCT..............................................
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a....... ...........sto/ry. Type......._N'.. ...' - -- - - - ( -(/// Building
at..----.._ZI..-a7.1?... - -- � 'i-"--"""'.........................----.....
SINGLE FAMI RESIDENCE
tobe occupied only as..... ...... ....................................................................................................
in accordance with Plans, Specifications and Plo apjed herewit///(//�lux
Estimated Value of Improvements, $...13Q�1 ,V
It is hereby agreed that the requirements o 6he 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 es to become subject to the workman's compensation laws f California.
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Owner--- .- ----------- - .............Address. .,'/� ..
....
..............Address... :"1 - h..... -
ontractor, gent
Form 280.1
RECORD OF INSPECTION
Foundation-- _-/ C7 (�-(J.f1kCi1 -r---
y . .--- 1�-----`---------{ri4Ft:1�^!...Frame..--------------------------------------------------------
1 i.
Stucco............................
- - - - - T...........A.Finish.. (��m N
- , 1 °17 ,0 ;,