32339 9/'/0s Ccu�,ca�Ci
CITY WSAPI JOSE Wt IEW DEPART 1
"OT-ila--APPLICATION FOR BUILDING PERMIT
Da+e......... a DEC 2.....- 195......
Permit No.. 3
-------------- .. ..- ---------------
Application is hereby made for a permit to.............b...uild
............r
..............................................
a.........OnO-.story, Type------ -----V i
ROnidonCe ti
Building
Lot Hoa Pei San Joee9 Califat------------------ ------f.!ed*su*sr----..... .... ...------ -----.. . - - -- -
- - - --- ....----' -------------
oae ly web & ra
to be occupied only as.... -'.. .. ..... _ --- �
in accordance with Plans, Specifications and to f'ded' eK 7eWif�`� x-
Estimated Value of Improvements, $...la.q.B��.... PLAN NO. 5`3
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 an manner so as to become subject to the workmen's compensation laws of California.
y EICH t OMES1 IN 2001 a Camino Boal
Owner-------- ----- - ... ....Address.........................------------------------------...........
r Palo Altos California
.....J-,... ......... ............. - -- ..
By------------------ — ...
ontractor, e en
Form 200.1 Ae Le SHA
RECORD OF INSPECTION
Foun A ion... ....................Frarne...
Stucco....