31206 11089 S�ratb�a�Surinyvt�le i;d.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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Date. ulu.l.-:l..........................I9S.?... Permit No......� ....----
Appliiccation is hereby made for a permit to....... ..................
y Type cCL 55�R
a----/�—.---pa+or T e----�--- -- . .'.'. .'...._.............�...-- ---.....-- ... ------.....Building
a+--`-1 =9-,1------ -`�'-Yw �XLz ' I
.................................
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be occupied only as--..--.... .��..... �:.------.. ..W-�--M-wl. .5. d.L..............
in accordance with Plans, Specifications and Plot filed e r ! "
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Estimated Value of Improvements, $. Q.Q...._..---..
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 aslto become subject to the workman's compensation laws of California.
Owner.VJh....�T.✓-- GLI .1rv..8lL..................Address.lJ.y../..e, ---- J'--------.......----..
Byl.Y.-8..hcy. 57 L7. s.. ................A�dress..aZ. Q.....Llroe4�.L.q.w.d------5
Contractor, Agant
Form zee-i 11099 Saratoga-Sunnyvalp-,,n�•s y Ur. J. Stillwell
RECORD OF INSPECTION
Foundation--------- ...7-4-- .....2.. . .....Frame....-....................
Stucco—------------------------------------------------------------------Finish................................