33291802- Ald6rbr66k
CITY OF SAN JOSE Lot 129 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date ..... 5/6/ 6Q . ............................... 19....---..... Permit No..3... ..............
Application is hereby made for a permit to ....... M matx110. tr.......... .I .................._:.........
a.s1i)alC...atorY, TYPE "1 idq42e .......................................... ............................... Building
at
t✓ur r � •
to be occupied only as ...single - -.£ . .. dw ��
in accordance with Plans, Specifications and Plct•plen filed F%rewith.
Estimated Value Im ants, /D �..D.......... y`
It is hereby agr d a require and Zontny Ordinances and all other
laws applicable }o a action, I } niyi ldfp�i within the Cff 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 in any menndr w sit* violate the workmen's compensation laws of California.
Owner a tley... ......Address ...x+112 Ll Camino. Wm .................
ddress ..Palo Alto... alifornia ..
C rac}or, Agan
Form 280.1 _ _
RECORD OF INSPECTION
Foundation J-7/?-j/p-Q --- ------ Fra
---- ---- ............
S+ 0 --------------- ------------------ -------------------- 2),
1�c -- ------ (INV --------------
67 szsyi
7
y 2-
5 -3/ 7/
G�? �/lu
`110160
& /�016 &
7/f S14, d
. 4