33497 906 silige
CITY OF SAN JOSE /`0'r 3 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 90.3
,:),-T,3 <1
Date...... ............................... 19---6P-0. Permit No.----- .. . ----7---------
Application is hereby made for a permit to -------------------------------------------------
a---" ./.... story, Type._z - ------ ------- --- Building
at --------- ..........------56�?-_c......------(Z'T.
to be occupied only as ----/---....
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements. $--- 0------------
It is hereby agreed that the requirements of the See Jose Building and Zoning Ordinances and all other
laws applicable to the
constructiom, 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 Ishall not employ any per•
son in any pusn�er 11 as to violate the yo4men's compensation laws of California.
.......Ad
Owner dress
By ------ . ........ . -----.Address ------------
Form 2so-I 906 Contractot 09 Palo Alto Dev.
p�RECORD
OFF INSPECTION
Foundation ------` _-� D---�cf0�"b' Frame .-z �?4;- .....o'[\�J --�f[ew-e,- -
Stucco Finish ------- 3.
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