NO PERMIT NUMBER CITY'O BUILDING DEPARTMENT
L(-2-- APPLICATION FOR BUILDING PERMIT
Date----8---Sep- t_ .a ....... ...............19579-
95 .— Permit No.........................................
'- -- - . .
Applica+ion is hereby made for a permit to.........build
...............................................................
a-----OAS---story, Type---------Y..... iQaidonce-- ------------------------ ----Building
Lot Noe PairOrovq/� $ j'an Joecg Calif.
a+---------------------_ .....---.........----v.._. .._. _. ....... ---✓-s. ..............................................
one Tamil dufollin^ & garage
tobe occupied only as.................................................... - ------- - ----- /------.._.. --....._.
in accordance with Plans, Specifications and Plo#-pl n Hfad r with: —/" S, _ k a 2
PLAN id
Estimated Value of Improvements, $,/�I'o! -------------
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 ihall not employ any per-
son in any manner so as to become subject to the workmen's compensation laws of Ca,forniayieal
EICHI i OMESs Vice 2001 aC. no
Owner.--- -----._,.-. .-----------------------------------Address.....:.... ......... .. _......
Palo Alto, California
t^ } Address..-.......
By....
- to ... ..� ..........t. ...........
Contractor, A'Ini
Form 280.1 Ao Le �tx"P
RECORD OF INSPECTION
Foundation .. _ g_-..;.Q �
Sim cco--.�w�..clj....'.�2..�1L.`.Jjrr_-R.:...........Finish..-.'.�...� ......................................................
A/-
H- 7- 4(v �^` ^-