33039 (2) ...........WESTLYN #2 TRACT 2168
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLI ATION FOR BUILDING PERMIT -
Date ... --G� -----------' 19..:..5!.-. Permit No..�c��. ✓?.��./
�T C ... ........
Application is hereby made for a permit to----- dSTRUCT.,._-------------------------------------------
a----\..........story, T�y)pe---------- ---------------------------..�..--y-/�--/� . Building
at............. . ..��..-11..0 ------ -- --.... ..-- -- -/�Z/a./--------------------------------------------
GLE AMILY RESIDENCE
to be occupied only as - ................ -. --
in accordance with Plans, Specifications plan/ff,� �
Estimated Value of Improvements, $... .49012-0
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 shell not employ any per-
son in any manner so as to become subject to the workmen's compensation laws of Celia
Owner...C- Address...
i 30a lP�///
-- . .
Address......... -�4------------------ -------
--
Contractor, Went
Form 100-1
RECORD OF INSPECTION
Frame...--/-.P."Go.----/�
S0---------------........----..:r.:.::......__.G..:........-----...Finishlifl--16-)--....N.. --..---
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