NO PERMIT NUMBER (2)6,103
I "w":--n--APPLICATION FOR BUILDING PERMIT
a Septa -..195...-r.� Permit No..
Date - -.............................
r Application is hereby made for a permit+o............. buil J ................................................
a ......... one story, Type --------'Y - - --.. -/� -------------- -----------------Building
Lot Noe G� FairCrove - Traot sloe 2533e San Josc° Calif.
at...........................!,�...------------..............----'..........-r----------------"--'..........'-".._............. "--........
one family
to be occupied only as .............
in accordance with Plans, Specifications and Plot -plan filed /.e. -d -------- • PLAN NO e herewith.
S
.... --
Estimated Value of Improvements, $.
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. k
I certify the+ 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 Celiiyrnia. -
EICIiI�:ti<t OM S° ®NC. 210 til CAao meal
Owner"---'-' - ' -' '''........................Address...... ----------------------------------.`--`----------
-'� � Palo Alto California
Contractofu Agepk
Form 280.1 At 0 a i'.
RECORD OF INSPECTION
S'9A ..'/ili.7/
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