31786 -------- TFACT------- BUILDING DEPARTMENT
CITY OF SAN JOSEWT_\q\�-. -WESTLYN TRACT 21
APPLICATION FOR BUILDING PERMIT
�54 Permit No._,I/zt
Date-------- `/-_-------------
.......--------------195--------
construct,
Application is hereby made for a permit to-...-_..-_.---:-_----------------------------------- ----- -
V ----------------------------------------------------------------------
V res ----- ----------------_----------Building
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-------------------------1—--------------------
--- --- -------
at------------ 115
d
to be occupied only as--------
single-fam* 1 resi ence-------------------------
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0 ;&MZ'54
in accordance with Plans, Specifiv Plot-
Estimated Value-of Improvements,
it is hereby agreed that the requirement, If the San Jose Building and Zoning Ordinances and all o+har
laws applicable to +he construction. location,
and use of building,
4 within the Ci+y of San Jose, will be com-
plied with. a I nce of the work for which this permit tiis issued I shall not employ any per-
ertify in the perforn
son icn a" mannernso as to be.dnne subject to the workmen's compensaon laws at California.
Address---------------------13007fl-Camirre-Real---------- ......
Owner Wrilo parh, California
Address...------------------- -------------------------------
By------- 3-4118
Contractor, Ag-W
Farm 2SD-1
RECORD OF INSPECTION
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Foundation----- Fra ------ --- --- -----_
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