31074 7414 Tiptoe
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date-- ........2�_j.............195...:..p /Permit No.....S�Q_7---�---------
Applicaflon is hereby made for a 'permit to--------------------------- -------------------------------------------
a---12�...�iory, Type.......
.... .............
..........................Building
...
. .. .
at.... ................ ...... ........... ----------------
, I -,
to be occupied only as... I_ ,�- . �-___ ..............................................I.......
--------------- . ......................
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $---- .........
It is hereby agreed that the requirements of the San Jose Building end Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the Cit I y of San Jose, will be com-
plied witha not employ any�per
I certify that in the :performance of fh_j,,work for which this permit is issued I shall
so ner so as to a m b'ect'to the workmen's compensation laws/of California
a cite ' r
so
in N-
Ownirec./_ . - .. . .. ..... Address__//a.
BY--------- ------------i............/___Ad�ies I s------ _ --------------------\...............................
Contractor, Agent
Form 280- Howard J. Lucas
17414 Tiptoe
RECORD OF INSPECTION
Foundation----- 19—4� 1—§-t"
-----------------------4----l!.5-4...... -- -----ZFra a................----------------------------------------------------
sfucM---
Finish—9 .....................