31081 (2) 931 Bldtift&o6a
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date ------------------5A-151.............195:77. Permit t4o-------3-,l-oh..............
Application is hereby made for.a Permit to---------
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-------------/-----0ory, Type- - --------- -- --- ------ - - --------------------------------------------Building
at...............l. .`3 ---- ----- --- -- ----------------------------------------------------------------------
to be occupied only as z4v
---- ....... ... . ............ ....................................................................
in accordance with Plans, p tions and
Estimated Value s. $---..-/---------.------------.
it is h;re6y 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 bi com-
pliedcwith. Phis permit is issued I hall not employ any per-
sonerfify that in the performance of the work for which
son in any manner so as to become subject to the workmen's ticompensation laws of California.
A ..........
Owner---1 1P-.9tL1eY-,--G0U%tr.....GLL--s---1)2C.-Addre.5's......W.12...F. ..W-U--�.....
By-- -- ---- -----------Address----- ----------------------------------
.nt,.c r,
Farm 280-1 C� Zi 'Whe'atley (�onst.
9 73B1 a od
RECORD OF INSPECTION �.
Foundation.............. ....... - - ..-.. F rhe--�!--� -:... ..`---!.-. -----7-
�o
Stucco......................................------------------. Finish. :...../o L6 -S 9 -t�CO� .
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fid' z 63
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