33039 (2) 154 6T,a "t61LOT...Q 0_...._.....WESTLYN #2 TRACT 2168
CITY OF SAN JOSE BUILDING DEPARTMENT
APPL15,ATION FOR BUILDING PERMIT
Date..--- . . . - -! ............. Permit No.3
CONSTRUCT
Application is hereby made for a permit to....,.:.-�......RU
a---....-N..........story, Type . ..... .... -.....Building- ....
.
SINGLE FAMILY S DENCE _
to be occupied only as.......... " - ...f ....... ......----------
in accordance with Plans, Specifications n{�fof-plan file"d h re ith-C
Estimated Value of Improvements, $.l.�.01?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 shall not employ any per-
son in any manner so as to become subject to the workmen's compensation laws of California.
—Address_ 3� .... ......
Owner......... ' - _......... , AA Q
B - " >----
Address.......1 1 . .. !-.. --...
Contractor, gent
Form 2804
RECORD OF INSPECTION
Foundafion-J.'�Zv--- 4j5�......0.7a�.Frarne...
Stucco.................
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