33497 776 Lilac Wa
CITY OF SAN JOSE Y o BUILDING DEPARTMENT
// APPLICATION' F/ R,,,.BULLDING: PERMIT
'5 03
Date.----------b-..�...Z-'................. 19...CP..� -Permit No..... - ---0---�--_1--1
........
Application is hereby made for a permit to ....
a......../......._story, Type__Lr-----...-./y-,}`-��---.5-'---------------- ��-TT•-.......'�'-�'G,' Building
at --------- ----7--a--S................ `'-''" 1
to be occupied only as ---..1..._.F .�.�_<`�
in accordance with Plans, Specifications and Plot-p4 d
Estimated Value of Improvements, $..... 0_0---0..........
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
complied 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 pnner as to violate the workman's compensation laws of California.
Owner -.--....Address
Wa-1 --.Address ....
Form 280-I 770nfractor, A9Llac Palo Alto Dev.
Lj
RECORD OF INSPECTION
Foundation
-- -------------- ----------------------------- Frame
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Stucco ---------------------
...... Finish
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