32438 CITY OF SAN JOSE BUILDING DEPARTMENT
LO 90 APPLICATION ' ,FOR BUILDING PERMIT 12-+3-6
Date......(-- 3 t 59
-- ---3e.P----------------------------—195-------- Permit No_3_P--------- ---------------------
Application is hereby made for a permit to------....Unita.------------------------------------------------
a. __ One.-- -story, Type V�--- Residen-00 ---------------------- --------------------------------------Building
at------;pt---No.-- 33--- _9..ZanJosep...q�,.lif a
-- -- ............
to be occupied only as.......one...Familj jellink warqgo
in accordance with Plans, Specificatioi i 4e'd erewit
Estimated Value of Improvements, ------
it is hereby agreed that the requirements ofLfhe 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.
, 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.
lix. ,coal
Owner----- ---
------ ddress--------200 Ll C=ino �
--- -------A ----------- ------------------------ --------------
Palo Alto* California
By............... :.�i---- ------- -------Address---'-------------------- ----------- ------ ---
Contractor' Agent
F.mn 280.1 A., L. WUPIPPb
I jt
nv .q=.c,"t1 �;; RECORD OF INSPECTION
Foundation ps--`le ...: f ....._F Q-'77`� ..----------------- -
Stucco-------x - laJ
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