NO PERMIT NUMBER (4) -=Y"OVSWN"JOSE WILDING DEPARTMENT
LOUQ ..e APPLICATION FOR BUILDING PERMIT
Date------8_septa
---- _--195---- 9 Permit No.-- ----------------- '
Application is hereby made for a permit.to,--- -----bu-ild-------------------------------------------------
a-----AQ-----story, Type---------Y--- -- ----------.-----------Building
at Lot No, airCroaeTraat ;foe 2;7oe 2533, Son Joeeq Calif,
. --.................................
one family dwell g ----- ---- -
to be occupied only as. .--
in accordance with Plans, Specifications and Plot-plan filed herewith.
PLAN. NO,
Estimated Value :of improvements. $4� -rJ/1---------.
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 thet 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.,
LICHLtst OM259 5KC. 2001 S1 Camino
Owner - — Address ....... - ..... - --- - ---- -- --- --..
t` Palo Alto, California
HJ Address----- -----------------------------------------------...-----
By- - - ,
Contractor'
Form tae-I Aa LO r-sH+'•P �}`/—
RECORD OOFF
. ` INSPECTION
Foundaton. r—.-..�.. � r -_/7� .
...:
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Stucco..............
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S#ucco----'----- ----......--------._..----......--"-.....•.... .....................