33664imy St6lllihd
CITY OF SAN JOSE
BUILDING DEPARTMENT
APPPkPJ;TP)N FOR BUILDING PERMIT
't6-'rk 3(np
Date---! k ---- ----------------------- I 19_6'4_--- Permit No. t�7616.0 -----------------
Application is hereby made for a permit to --aect ..... ------- - ----------------------------------
-17 — ----- ------ --------------------- Building
a ........ Z ------ story, Type ............... 4��
at
to be occupied only as
Plo -plan filed herewith.
in accordance with Plans, 'Sp�iecific- �,�O.s �an
Estimated Value of Improvements, $.-._/--q -- �' x
-------------------..._.:.'/"A116�j
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 w,thin 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 manner so as
to violate the workmen's compensation laws of California.
Own
By
Contrector Agent Linfield
Form 280-I 187 Stellin
RECORD OF INSPECTION
Foundation - ------
----- (� - 2-2, - 2-2,9
--
--------------------------------------------------- Frame -----------------------
------------------------ ---------
Stucco ----- ------------------------------------------------------ Ole
- . Finish