32438 CITY QF SAN JOSE BUILDING DEPARTMENT
CI
y APPLICATION FOR BUILDING PERMIT, 3x¢38
8 Sept,..................................195._S9 Permit No. -------------
Date------- ... ..
build
Application is hereby' made for a permit
to------.....................................................................
• a.......One..-..story, Type....--- ......................................Building
at Lot-Noa?9 Fa�.r.T9ye Tract No, 2533,,-, San JJooe, Calif__-
to be occupied only, as....._Pn0 rat133 .dtiJeyyOC
in accordance with Plans, Specifications an Plot-plan filed herewith..
Estimated Value of Improvements, $/....�'�........ kl*a 110.
It 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-
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 as to become subiect to the workman's compensation lawi of California.
MICI IIO'et[:G II7Ce 2001 � CLO-ino :2oa1
Owner1...........................Addreis.-......_.... ...... - - - .........:
�n Palo Alto, California
By----- .... . .... -: `` qr.. .......Address.......------------------------------------- -- ........ -
Cont.. L' Agent
Form 380.1 A,, L, S3AP .,
�r RECORD OF INSPECT!PN
Foundation-� ..-.. .....✓--• ll-..-�74Y1...c'e�Kt....
. -'---------
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A 36. 6,3
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