347590i Cot> onwooA Lot 123
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date.... ----June. 30d --....... 19.60... Permit No... 3..T_7 SJ
Application is hereby made for a permit +o -.....construct ...............................................
a_single---- story, Type- .re§idence-------,--p-------- - -----------......�.....................................Building
ri<-? 7`Y C. a*z.,0 Qf1. �;�_S%y
to be occupied only1.6:f.Y1.ly6}d$iClh[Q111ng-_-------------------------------------------
in accordance m Plans, Sp cificat'onsand Plot -plan filed herewith.
Estimated Value of Improyements, . ......11lllfU ��
It is hereby agreed that the requirements of the San Jose Building end 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.
Owner ..�eatley.Const uction.,Co-.-,__...Address.....4ll2-._;;-1,..Qamxno--Way-----------------
�i 6 Ste/;?, .a_J erfrlr.,� Palo Alto
Form 290.1
RECORD OVINSPECTION
Foundation-- .......... F.r.a
Stucco...... — ----- -------- : .....................................
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? 0
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