NO PERMIT NUMBER (4) 880 ,� ��ridlEiaood
CITY OF SAN JOSE foot 85 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Dafe...Febluary---2L_....--------------- 19....63... Permit No.........................................
Application is hereby made for a permit to------ onstritq.t-..............................................
a..BlSlgle....story, Typ ..rul.C1.ence ...-........-....r--------- Building
at---------0766------ --------
....,.---------------------------------'-- ----------'---------....
to be occupied only as......5L-n-ale...f571111 t �X1j ...�/ .fir.................
-
in accordance with Plans, Specifications e�u['r an f e {fir/�jvC
�O� 6WEstimated Value of Improvements, $... .............ti........
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.
Ownera`. 1 P. t1�Y-._�9lst . ..C�lRI1..CA........Address._....4112...F.I.Gami.no--Wam..............
BY . . ..........Address......Pal r...Alt a.,.i.Qali:.orrzia.........
Contractor, Age 1
parmx90-188 dandlewo d Wheatley
RECORD OF INSPECTION
3 "
Fou ation---/�!Y- ¢ ---..... --------------Frame-�� .Q-...¢. -Npp! -------------
Stucco----...3,..-.2::.4_-A�-0. ....Finish..6-'-A-1-AF..._/�-_- '`-`-�L----
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