31225 1484 Tiptoe I
CITY OF SAN JOSE LoT--tO7 TtL -?- 37 o-BUILDING DEPARTMENT
APPLICATION : FOR BUILDING PERMIT
Date.. ------- Permit No....... ------
................. 19 ---------
7-/ S4�_
----- -- ...
-Application is hereby made for a permit to- .....................................................
a.....Oq��...story, Type----z-...(19 5.................. .........------........----....---.....----Building
a+ ?4'o- --------------------------------------........
..... ...............t�
to be occupied only as------j2.AJ_ -------
---- -------------
in accordance with Plans, Specifications and Plot-, d he
0-no
Estimated Value of Improvements, $-_.. j- ---.
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.
, 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 , to become subject to the workmen's compensation laws of California.
L)J.4.0 k --- --OA------?... ............Aciclress/Oc'5_�....*kT WJJ9K
Owner.../cw7
By.................... -------------------------_- ............Address----------- -------------------------- ---------------------
N; ---- I
Contractor, Agent A. s� . Dickinson
Farm '%84 Tiptoe 6 __ S-51 ,
RECORD OF INSPECTION
Foundation....-. Frame----.-9 ,�-/
......... ............. --------------------------------------------------- -----------
Stucco--------- -------------------------—.—...................Finish.&�-A✓...t;o