31935 7515-- '�iptoe
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date.... .0 14 — / ......-........ 19.6.,1. Permif No.. /<�. ........:........
Application is here made for a pe i+ +o.................:..................ppp...���-..���.............-...............
a-------- -- s+or yp;;L:------... /� �.,f.'-= .=--....----Building
a+.------ --/---.J. -------1 - '--- - - - - ---- ----- - ---- --------------------------------
to be occupied only as.. ....ti -'......f. �
in accordance with Plans, Specifications and Plot-plan i here Q - 4" ..
/ 70Estimated Value of Improvements, $../C2t��..--a........ Sam ar Soy
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 m r sa as to become subject to th workmen's compensation laws of California.
Own
.Address!............................ -
BY- Address..._.....,------------_....----------------------------....-
Contractor, Agent
Form
87515 Tiptoe / O - 16-s% De La Cruz -
RECORD OF INSPECTION
Foundation-----—11113......5-7..jk.!q5......Frame....................................
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Stucco..........._........ -----