33497 1,11gLd Way''
CITY OF SAN JOSE BUILDING DEPARTMENT
I1- 6—r , :2_1 �
APPLICATION R. BUILDING PERMIT 96 __5
Date........6 - -Z (, r) Pe'rrnit No..., -----------
........................1 19--- ...... �34----?-T-'
Application is hereby made for a permit to ----------------------------------------------------
a--------I---------story, Type_J.Z _7......... .......... Building
................Gq
--------- --------------
at ------7-7-Y-7...........�-/ . ...
to be occupied only as .... ....
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in accordance with Plans, Specifications anbg;�Ian4fte 4641
Estimated Value of Improvements, $..-6%1.5-pp---------------
It is hereby agreed that the requirements of 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
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/rm�ner as to viol a the workmen's compensation laws of California.
0, ne
4./. 4,ddress e�!� __i��/
Owner ... . .. ...4... ------- ----------------
Iva..... .. -----Address _5&4we�
By ........ N
For, 280-1 77417?ntractor, Agent Lilac Palo Alto Dev.
RECORD OF INSPECTION
Foundation 71:r ..A
..... Frame
- -------------------------Gi --------------
Stucco -------- ........
- ----------- Finish ----
3 3