31081 90 .
CITY OF SAN JOSE 7- BUILDING DEPARTMENT
-APPLICATION FOR BUILDING PERMIT
Date--------- ...............195... Permit No....!:�_C)2/...............
Application is hereby made for a permit to-------- .......................................
a----------/----story, Type..._-IV,-/-... ...* - ----- .... ...... .../- --- - -------------------------------....Building
at-------------------------------�1_ --- - ----- -- ------------------------------------------------------
to be occupied only as------------------------- — ;4�
----------------------------------------------------------------------------------------
in accordance with Plans a ifications an Plot-pWlile,)uwewith
Estimated Value of
49 �rdirusnces and all other
I} is hereby agreed that the requirements of the San Jo;; Building end Zoning ,
laws applicable to the construction, location, and use of buildings within the �!i�fy a an Jose, will 69 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 ;f California.
Owner Wheatley CoCorlstr t C-O.-.)----in---C--....Address W.12.-El---Oa-mi,10--WaY.......... ...
Address:.....P;!3o.AltO------------------------ -----------
"
C ortractor, gepi �;
nnM
F,, .2I 90,7/ Blazin Zd Wheatley 6nst.
RECORD OF INSPECTION
Foundation........
.....................................:........... ............................................................
Stucco.............................................................-----.Finish.-......
33 wl',Po