31081 (2) )01 Bl 6L z1zi gi46 6d
CITY OF SAN JOSE YY BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date--------------- ----(al- j4..............195.7- Perrgif No. 31-0.4? )---------------
Application is hereby made for a permit to......&2grl&of-----------------------------------......
a---"--------
.....Story. Tp - ------ ---------------------------------Building
y - - -------- -- -
at.........-....... ----------- ............................................
tobe occupied only as------ ................... ---------------------------------------------------------- ............................
in accordance with Plan p ations of- i,*IIL,,Ll Ith.
Estimated Yalu( v,'Ce ,, $- ._.-.A)
It is hereby agreed that the requirements of the San uildinq;h!,n,,Z1.n9 Ordinances and all other
location, and use oltl? mg, within a ity of San Jose, will be com-
plied with.
I certify that in the performanco,of the work for ;Aich'1fhis ipermit is issued I shall not employ any 'Per.
son in any manner so as to become subject to the workmen's compensation laws of California.
Owner_.l-hext-ley-c-m-AQo Irm...-Addr6is---h112'-El.-CRTMInQ.'WaY----------------
.....Addres's... --------------------------------------
t Wheatley ''onst.
Form 280.1 9011 azir& d
RECORD OF INSPECTION
................. .............
Foundation...... 5'6-5*--
............Frarr,16-
2
.........................................................
$fucco-.:............................."......--....••••"".--....
'""'-.Finish....: ............................
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