35171 7565 [46t6rif6rd
CITY 'OF SAN JOSE BUILDING DEPARTMENT
Normandy . ,APPLICATION FOR BUILDING PERMIT T -amt. 2592
Hills --L"+ 62 egpville 6R
Date------------------ /12f61..... ....... 19------------ Permit No.-- `�5 7 ------------------
Application is hereby made for a permit to -----------Buil-d-------------I------------------------------
a-----1-........story, Type.................. . /--'.../-----------i'---------....... Building
at ----------7565 Waterford Driv1veA%--�
-----------------------------------
to
- - -----------------------------
- - - j O
to be occupied only as .1..family---dxe113ng —/
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $...-..131000.-00-----------
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 Cityl of San Jose, will be
complied 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 manner so as to violate the workmen's compensation laws of Calif
eornia.)
Owner Alpine ldi _ --p--......------.Address - - Z03*1 Lace
9AlOiae -Bunildin 0- oration Address l same . ree es---------- -------.
By .Sc .�"�''�t- Y
Contr for, Agent
form 280.1 -
RECORD OF INSPECTION
Foundation .......
-- -- ------------------- Frame
stucc
------------------ - Finish ---J--