31013 705 .TIP� -,
A
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR . BUILDING PERMIT
Date-------!!�WAJ.F-------1-b---------------195--q- Permit No.......... ......
Application is herelay mad e for a permit to..........(3 ----------------------------------- ...............
------------
a....q_01;-----story, Type-7z------T_?_O�'
--------------..-.....-----Building
at.......74: $----- -----------C*ou Cc .... ----------- -------------------------------------------
--------------jm_��
to be occupied only as---------0_9�-C:------ffA.�Vl ! . ....... ...�_v ------------
in accordance, with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements, $---
it is hereby agreed that the requirement, 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 me�nr so as to become subject to the workmen's compensation laws of California.
--,.,,Addre
Owner-------- 14 ,D
By-------------- IAIs Address-- ---------- P—------------------
Contractor. Agent A. W. Dickinson
Form 280" 7435 Tiptoe
RECORD OF INSPECTION
Foundation ........Frarne�-.R...
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.x -------------------------------------
/0 j.V- - 57
---------------------------------------------------FWsh............. ---------
Stucco........... ..