30556 i0 9_ lie stlyn
CITY OF SAN JOSE . 3 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT /
LL -2 -SO �-5 (�
Date'--"- --...-'-.....--'....-""' ---'...-'--r 19-----------• Permit
�No..........'..............................
Application is hereby m.pde for a permit
1. 3 , to.../_ v ...
.......... ... ..........
a............/...s#orY, Type ...... {� /r !p .........................Building
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at--."" .""" E ..
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to be occupied only as......" /
..... -`F... .._"All- -;r .................AA...//.. '- ....-""'.....
in -accordance with Plans, Specificationsand1 t- la
Estimated Value of improvements. $...�.//-----------------------
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 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---------------------------------------------------------------------Address_---`---'`------------------------------------------------
..Address.'............."�------...--------------------- -------- ---
By..................... Contractor, Agent
Farm =ao-i 1038 westlyn �_y� s� Howard J. Lucas
RECORD OF INSPECTION
Foundation---------- oT
---------------------------------------------------Frame
"7
Stucco..--'--.....--.