33291C14A1dAN rdek
CITY OF SAN JOSE , L of 142 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date ------------ May._15.0_...................... 19 ... �Q... 'Permit No.----- 3 --- .Z.q..�------
Application is hereby made for a permit to ----------------- Construct
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at
to be occupied only as ..!single- ffimily dwelling
1\1/1
Building
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value o men
I} is hereby agree e} 4 requ'Je s he S q lding and Zoning Ordinances and all o }her
laws applicable t o construction, loea }ion, end use gs within the City 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 manner so as to violate the workmen's compensation laws of California.
Owner _Ialeatley--- Canstr Ctiatl-- Cn.o ... Address i --------- 4112- 10 ... Qamino- _:Niay_-- - - - - --
i
BY--- ------ - - - - -- --Address -1? to -_ Alto ------ ------ - --- -------- -- - - --
-- -- - ----C tractor, Ag
Form 280 -I
RECORD OF INSPECTION
Foundation %�Z-::Cfd.... ------- Frame
Stua -----------------------------------
kc ----------------------------- Finish ------- - ----------- -- -- ------------------------ -------------- ----
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