30805 (2) 7470 " Tiptoe Lane
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FO#,,, BUILDING PERMIT
Date................................l�i.--.., 19.5.- .... Permit No..... ............
Application is hereby made
�for
�aa permit +o...... ---------------------------------------
a-------------/�----story, TyPB n -Y--"'.,"- --•------................................................................Building
at-----...Z.S�ZlL----.........~�-j- .----------------------------------
to be occupied only as ""`"' .. ..... ------/ ----.....-
in accordance with Plans, Specifications and Plo+-plan til d erewFih!�v��
-------
Estimated Value of Improvements, $....LIZ.Q�-�.....
It is hereby agreed thattheroquirements of fhe
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•
�I son in any manner so as to become subject to the workmen's compensationlaws of California.
Owner..-///�HL��� C...._v/..�/i IZ.l2 /�L.....Address.-49 .V.l 1�G.. t� s
�_ �_ ��7 ......Address........... -
...?`.. ?.ilk
-By................... Contractor, gent/ ' _ _
Form
...
1470 Tiptoe Lane Villarreal
RECORD OF INSPECTION
Foundation-------
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