30970 722 Tipt66 __
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION .AOR BUILDING PERMIT
,4, r✓ ri 2320
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Date............ ... ............b.._.fif..195..1. Permit o......
Application is hereby made for a permit to..... ...............................
aa-t--..-.-.-.zafory,.Typo-.. �......�......................................... --- --------.Build g
....... ..........T
to be occupied only as.....................1. ...' -! r------�--- ...... -- ...-..
in accordance with Plans, Specifications a��nJJd Plof-plan fil • �ewi
Estimated Value of Improvements, $/---45
It is hereby agreed that the requirements of the" San Jose Building and Zoning Ordinances and all other
laws applicable to the construc+ion, 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 nder so as to become subje +oG/t�ho workmen's compensation laws of� ifnie.b Z1yr
OwneC... � ...' " f`
..- � ..........� ..Address............ ..... . - - -... --` ' ......
--------------------------------- rAddress........ .. - -------
Contractor, 6!e*
Form zeo-i 7522 Tiptoe (�_i,,r_sy Eugene De La Cruz
RECORD OF INSPECTION
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2
Foundation-----'( ------------- ......Frame.................._6.....'................................. .....
Stu cco........f7. -------Finish-----'/