30970 7456 Tiptoe
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION;r FOR BWLDING PERMIT
4 O
Date.................. 6.,771.,,r.......195 Permit No........3.....0_1
...............
Application is hereby made for a permit to.............0450!!��_ ---------:.Z..�......................
a p Type....... ......................Building
--------/.......�for
....................
et------.. - -----
. ......... /I———--------------------- ........
to be occupied only as....-----------------/.
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $/66>0J- _.........
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and .11 other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be com-
plied will.
I certify that in the performance of the work for which this permit is issued I shall not employ any per-
son in any 71ner so as to beco 0 ub' i to the workman's compensation laws of California.
Ow X
Address------------ ------------------------------------------------------
------ .......
By----7�r�------------- ........ ---.Address----------------------------------------------------------------
Contractor.Aclspi—
For. 280.1 7456 Tiptoe (5" Eugene De LaCruz
'RECORD OF INSPECTION A
Foundation------- - 1� G Qifl�+n.v.Freme----- < �T 16 � yv...
Stucco--------------------- - U. v✓ //��,
P 132 o
7- i3 mss.