NO PERMIT NUMBER CITY OF SAOSE BUILDING DEPARTMENT
LOrr 70 APPLICATION FOR BUILDING PERMIT
�1�
Date- $---- sept............................195.._ 9 Permit No.A„ - .'......1
build
Applicafion is herebyinade for a permi .......................................................................
\
t to...
a......CA@.....story, Type/---.. ...�- ` -. .... .. --------------------------- Building
a+.....Lot.-11o. 7� FairW eve--- -- -..a :I so o Calif a
_... ...
one r^ani ---welling -Zti--- rq�e
#o be occupied only es..----.._...................-'p- .....----------------------------
in accordance with Plans, Specifications a d Plot-plan filed herewith.
/.............................
It is hereby agreed that the requirements of the San Joie Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of Sen Jose, will be com-
plied with.
.l certify that 1r 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.
"ICs IIOi4::: a IItCa----------Address-.---.2001--- :l -CcaJ3no--Seel.......:
Owner...... ........ .i'S".. ..---
Palo Alto, C11ifornia
2r.... .
..................................................... --
......Address.BY -- --------- -`-
t
Contractor, Agent
Form 2801 Aa L. jiUIP� ��--
RECORD OVINSPECTIO
Founda+ion../ Fr
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