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CITY OF SAN JOSE LOT 174 . BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date--------Decw er...9----------------, 19...---5.9- -Permit No........3----�7.--�- ,57
Application is hereby made for a permit +o------..- COnStruC..
_ .............................
a_ 'Y
s+orY, TY Resid nce ry— --------- ........ .........................Building
at 635.3.J31a a db �zfia...-------------------------------------....
to be occupied only as........-S.ir>gle..karoilY--D fellinE--------------------------....----..........--------
in accordance with Pans. Specifications an Plo+- la 'e rewith.
Estimated Value of s, $----
It is hereby agreed i aquiremants of he an Jose Building aXfh. fy
g Ordinances and all other
laws applicable to th construction, Iota}ion, and use of buildings wi}h n Ciof 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. -„
Owner'vlhsatley.:.Cnnstruction.....Ca.......Address......-lfl l2--E1..Camino..way------------..
..................Address...�.-..Palo-Altos _Calif..----.-_-_,-
..
Y----------_---------------Con rector. Agent
Farm 2Z'353 Blackwood 02 -� ��S Wheatley
REQQCO//RS�D., OF INSPECTION
Foundation-----r. --�-_ .-d... 1' `!/✓/LG""a'
........Frame--- --
Stucco----.- =.31_:4o... Vit/ •��---'....