31806 (2) 7400 Tiptoe
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION f 9,R
WILDING PERMIT
Date----....--------------- ........... Permit No.---- 5'__too ----
Application is hereby made for a permit to.............. .... .... ..............................
a..............t...�fory, T 0 ---------------- - -- ---------....--------...---.Building
-7 YP ------- -----------------------
at.................... - .4.0---Q..........�7_(... -- ------ ----------------- ----------------
.................
to be occupied only as_...... ......129.1r, _40
in accordance with Plans, !Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $---t_d4___Q&0
It is hereby agreed that the requirement, 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 certify ed w is permit is issued I shell not employ any per.
n n
socompensation laws of California.
OwneS...--------------------------------------------------------------
By . s------------------------------------------------------------------
Contractor, Agent
Forma 100 Tiptoe 6)--S,59 Eugene LaCruz
RECORD OF INSPECTION
Foundation_--. -..Z'.— ---Frarne—...
Stucco------------------------------------------------------------------Finish-------J:7-
.....................................................