31781 101 1)UM &T_ : _> ._Y1ESTlYN TRACT 2167
CITY OF SAN JOSE -_ 6T BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date---------ISEP 2 3 - 1957------------:..195-------- Permit No---- �-.7 1-----------------
Application is hereby made for a permit focon"ruo --------------------------------------------------
----------I----------story,
------------------ --------------------------a----_-I----------story, Type---------------------Y.. srel --------;--------�._7---------------------------------------Building
at
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s' le—family re idence
to be occupied only as------------------ - - y -----------------------
---.......
� � .
in accordance with Plans, Specifications ndppPlot•plan filed ew1+h. ,
Estimated Value of Improvements, $.. --El-b.�-•
It is hereby agreed that the requirements o the 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-
son,in any manner so as to become subject to the workmen's compensation laws of California.
Owner....--.- CLAUDE T. LI SAY INC..---------------Address..------------1---.-- ---------inO- -----
----------- - - - - -
1300 EI Camino ileal
By...
r. .. .GSi ....Address....._...-..pieniD i'aikrilornla---------------
va` onfractor, Agent DA34118
Form 200-1 ,
RECORD OF INSPECTION
Foundation.-- Fr
. I ...................................... ---------
Stucco....................... .. %0e, - /
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