NO PERMIT NUMBER AAZO� - .'P g3 z
CI`�`TY OF ST A�1 JOSE BUILDING DEPARTMENT
LOTS APPLICATION FOR BUILDING PERMIT
8 Je to ........195_.r�..9 Permit No...- -0
Date-- -- P. ....... ........ ...---..............
Application is hereby made for a permit to..........Unild....................................................
a------q;!A------story, Type-----5 ..... ....... ..... ....................---... .....----....Building
at.._Lot-_rjoo 7� Fairer--ve..s Tra t aoa ?5 3- San Joaeo . CtliYa
� .
to be occupied only as.-....q;!0.c�ti_1,y__. �3!-it...._..... I ........................................
in accordance with Plans, Specifications and Plot-plan filed herewith. ff
Estimated Value of Improvements, $A... ..........
I+ 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-
pliedwith.
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.
ICI T, Ii0',4:; IIfCe 2001 c1 C:afiao '2ea1
Owner. k...- ...A-- `- !--------------Address.-----...... .................................
+\ Palo Alton California
ttt"'CCC CCC��� ~''r .. ........Address---------------------------A .......... -------------
By
......--" -
Contrector, Agent
Form 280.1 Ae. La ;i8 P -
RECORD OF INSPECTION
Foundation F
-- - -------------------------------------------
Stucco..................
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