NO PERMIT NUMBER to I a 7
BUILDING DEPARTMENT
LOT-IL. APPLICATION FOR BUILDING PERMIT
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Date.... ...ufipte........................... ..195.. Permit No.-.------.------ f
--------------------
Application
- 'Application is hereby made for a permit to......_build
a.....Q40-------story, Type.......V..(J....Pl..... --- --. . --------------------------------Building
Lot
No, Pair ova ae Tr 25339 Son dose' Calif.
at--------------------- I�rrl ww........0.a•.r.----------............_....-------- - ------ -...----....._....-------------------------
oae family dwel
to be occupied only as.................................................
in accordance with Plans, Specifications and Plof-plan filed herewith. S_ r 1
PLAN NO, 4
Estimated Value of Improvements, $.1'�BG CL..........
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 as to become subject to the workmen's compensation laws of C liforni
EICN 2 OMES� NNCo 2001 fl GamnnO goal
Owner - . ............. .....Address....... ..... - - - `-....... - .......
Palo Alto. California
uA� Address---------- ----------------------------------------------.--
By..... - - ' ' ..,
Contractor, Ayant
Form 260-1 A. L. Sg ::P
RECORD OF INSPECTION
Foundation.... ... r,/F .._r/_..
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0,
Stucco..................................... .......................---F�W... .......
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