31642 (2) 7407 Tiptoe
CITY OF SAN JOSE - BUILDING DEPARTMENT
APPLICATION FOR _ BUILDING PERMIT/
Da+e5,44�----• ... -
--- 19.�..l...., Permit--yyN''o.-'-------------- -------------------;-
Application is hereby made for a per it to---4: a-v- -z',/.,l�'
a--ewl....story, TYpe�_ Z--/--�T/fi ----------------------------------------Building
at....7��- . 7---F lo. ��.--------,.... -------/..............
to be occupied only r. f�� �/
in accordance with Plans, Specifications'
andPlo+-p e e Jse e i
Estimated Value of Improvements.
$.. J
P t - -
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 that 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.
J �7`' J �o S'
C7 L! ...UCR.S Address. // 2!YGIiYR .C �Al�ly -BCS
Owner---. O..ZV/..-le... ----- ... F>�
By.. 3 -------------_..Address .....5't!?!L -----------------------------------
-----------------
F.,.
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Contr �q AgenT
Form yeo-1 7407 Tiptoe Howard Lucas
RECORD OF INSPECTION
Foundation........ /IW,4r
.............................I rame..... ---------------------(T
--------------------------------
Stucco—... ..0. .............la-A
. ...... -----------------------.Finish...