33497 (2) 9 1�11TY 0heAIN'lAE . - .,BUILDING DEPARTMENT
APPLICATION F?ILBUILDING PERMIT 1?6v-
Date-------(a------ =-------------------------- 19---!�Qn Permit No. ..Y71-7........
Application is hereby made for a permit to-- ------ --------------------------------------------------
a.-... --
- --I- ---story, Type-----U .�............ 6-> -------- --7 6?9-��---- Building
. --��A.7 . .
at .. ..... ............ l
to be occupied only as ---
in accordance with Plans, Specifications*aPlo41V,;ee414ax4.
Estimated Value of Improvements, $------I--->)--50--P.....
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
complied with.
I certify that in the performance of the work for which this permit is issued I shall not employ any per.
son ina ny r s as to viola t a workmen's compensation la o California.
Owner .-)�.Adclress
By ----- - -------- - ----- ---------- - - - --------------Address -----
Form 280-1915 Contractor, Agettelling Palo Alto Lev.
RECORD OF INSPECTION
Foundation --- Frame --------
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GE��p Iry
Stucco ---------------------- /0 — 2S' 6 0
------------------.....................alFinish -----------