33039 (2) 7515 t6tAVAW-X-�0............WESTLYN #2 TRACT 2168
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date...... ....................... 19-2�-- Permit No.--3.. ...........
Application is hereby made for a permit to------CONSTRUCT-----------...........................--------
a......... ---------story, Type-------------- ....... .I-------- ..................................Building
............................................
at.................. .....17 �44*49,',
LIL kll�y'i" MCC —
to be occupied only as ----------------
............. . ----------------
in accordance with Plans, Specificationslot-plan
Estimated Value of Improvements. v- ----J--VQ- ------------
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.
, 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 alifornia.
Owner CLAUDE T. I. D§��Yf
.........Address..... ............ ---- --2--------- - ---- --- ---------
. ........... .. .....
...... .. Address / -.1, .............
---
Contractor, Age
Form 280.1
c�RECORD OF INSPECTION
Founda+ion.-Ynk)--A0.... -- -Frame..J fid.-G0-_/,`pJ_
s lbrIo
..---------`------....---------------------------------------.Finish.