31081 (2) X49 8iazii'&66a �/
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
-Ax, a i9" (
Da#e--------
Permit No. —3 d
Application is he made for pe it to.............. . ................................................
a-----------/------story, e---- - ---- - - ----- -- ------/--- -- /. Building
a# ........ ..........- ._.�. ---- - ------ '�-� --�t-- --------------------------------------------
#o be occupied only as........ . . g "
in accordance with Plans, pecifica#ions a d Plo#-plan fi ed herewith.
Estimated Value of Improvements, $-----.. �.......
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 to
of the work for which this permit is issued I ihall not employ any per-
son in any manner so as to become subject to the workmen's compensation laws of California.
Owner:..J fheatley...G. s#r..._ n......1nc Addres's ..Address.............Palo CzM'_nn.2Y.............
By-"
' J --------- -- / Dalo 1.1.t o - - -
Contracto�r,�+ nt
Form :eo-i 9 9 Blazli' gwood Wheatley
RECORD OF INSPECTION
7� r-f
Foundation-.- -----...---------••---------....----`--Frame.- .. ----------------------------------------------
Stucco......
- -- ....Stucco------ L✓- /' /5 Jc ...Finis --..-_1: 1�+�j.7.- L �y...-
2 6 3
P 23