34759 (2) 845 Cbttaliwbad
CITY OF SAN JOSE Lot 124 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date---• --...June -3° .... 19..60 - Permit No..... ?sl
Application is hereby made for a permit to....const.i*t........................................
.--..-_-.
single residence'
a st/oJrY. y e- ... . . ------------------
at
.. . .-----A-Y�//1t J Building
at--- s..:�-i�.C%G9 r�p ..---- --.' , ........ ,---`'1.r---...................................................
s
to be occupied only as--------------- ------_single _family--dwell Lag..........___...-_-............_..-.--.-_
in accordance with Plans, Specifications aI)P&n fil�bpjey) C/ �/
Estimated Value of Improvements, $............................_-- /V��/ �l
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..Batley Const uationAddress.-.4112 -E1..Cam n..._Way...................
BY- - — - -- ---
Address---Palo Alto..........................................................
.....
.....0 }ra.tor,
Form 180-I
RECORD OF -INSPECTION
Foundafion_,? � ----
Stucco--"---... . ----'--......... ...
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