33039 (2) 467 Nftr,AYi*-- ----- TRACT___----
CITY OF SAN JOSEf$TLYN TR�ACr 218PUILDING. DEPARTMENT
APPL CAT��J�'�-• FORWBU1L'61NG. PERMIT
Date--- -----------------IXbtPermit No.3.13�!-t9--------------
Application is hereby made for a permit to............... Dl19t2`uct:-y--.---,_
a.....-`----1t.�--.story,,-7Type------:.-- -.:.r.es'p {—-...-.._....._..._ ------- _. I Building
at-------------------------7_ 4,7... --- - -- - - - -- - -------- -,r�,..............!..-------- --------------
.......... ................
to be occupied only as---......----�111ili =Pami_(y reside- .e_ __—.------'----------
in accordance with Plans, Specificati401FOf-pla OQ If eel�t �
Estimated.Value of Improvements, $_j a.D.._...----
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 Sani 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 workman's compensation laws of California.
Owner..CL_l!D i,-L iiu 'Y I;IC,-------------_.-....._....
Address--------------1300"Et--Cariiino-Real- ..----
y i-- ddress...........Mento--Bark ..Ccdifornio- ------
ntractor, Aged DA. 3-4118
Form 280.1
I
RECORD OF INSPECTION
Foundafiion...q=�2.2-:n-40...... ... Frame...
............................................................
Stucco...........................................................AKF-iniish........... ... .........
76