NO PERMIT NUMBER (2) 00 9 5 11--cc���v
"CITY -SAN JOS ' """ ""'"'!� " `BUILDING DEPARTMENT
Lo. � APPLICATION FOR BUILDING PERMIT
:iOpCo-------.:...................195.....r�..9 Permit No.4..-.-..----..- .....�.r....----....
Date....... /
Application is hereby made for a permit to.........-build
a-------One.----btory, Type-----...v.... RoaiQonce........................------..................---.........Building
Lot No. Wr,rair:... ......
33p „aa Joac/ Calif,
ono acli7 dwolliag ri garage
+o be occupied only as...:.................------y------ -�---... ...��_.'.--------�Q/�-j--�-�----,,-te--..,,----/-�..........---.....
in accordance with Plans, Specifica#ions and Plo#- I nkfled h 11fK�v/v
Estimated Value of Improvements,
&$.ly.a,4-ri PLAN NOn `} /
It is hereby agreed that the requirements of the San Jose Building end 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 California.
„ 2001 El Camino ;toal
Owner. JICH... ' Oi1r WuI Co.............Address.. ..................................................---------
� Halo Alto, California
- -�' t` r0 ` Address------------------------------------------------------------ .
By......
------, .�...ontra � `g--------r
Contractor, Agent
Form 780.1 / Ae Lo SH;-Pao— - - - _ -
RECORD OF INSPECTION
Foundation../;z..-`.a:0...'...
----------------------------
-
Stucco------------------------------------------------__----...........Finish-----�.4A