NO PERMIT NUMBER (2) . 810 CAAdl6w6od
CITY OF SAN JOSE Lot 78 BUILDING DEPARTMENT
APPLICATION , FOR BUILDING PERMIT
Date---Fehruary- 2��------------------- 19.... 0--- Permit No.........................................
Application is hereby made for a permit to......CQi7.&tTuct..............................................
�@p
---story, T . -- - - -- -
yp ...PEside_uca------------- -- ---- --------------------------------- --- ---....Building
to be occupied only as-------zing le..1am&11i rH" 4K. ------- ---------•-----
in accordance with Plans, Specifications a p
ov
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 performance of the work for which this permit 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.WhP. tley...Cans trzi ion.-C.Q.........Address---l�ll2..E1-.Oamino..:lay...................
By.... - _ Address...Ra].Q-.A1.tQ.,---G-alifo ai.a........-...
-
C tractor, Age �
Form 280 i810 Candlewood �, �S- G 0 Wheatley Const.
RECORD OF INSPECTION
.... .........
Fou,zionw��,; �.............................Frame...
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