33039 (2) �1+y9. �QLaa V_3_.... WESTLYNr#2 TRACT 2168-
CITY OF SAN JOSE TRACT_____._ BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT _
Date -----------19cz)- Permit No-gwl3f-------
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Aplplication is hereby made for a"permit +o..c.onztraot-----------------------------------------------
a---------1-------story, Type--------------------Y.Tee------.. --- ----7--- -- Building
- -
-
to be occupied only as...............
......e l)e'family.-.re d /��. /.�- -- ---------...-.:
in accordance with Plans, Specificati bpd' Plot-plan fi) r ite `� I .
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 wi+h.
I certify that in.the performance of the work for which fhis 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.
° CLAUDE T. LI SAY INC. -----Address.........W9. EI_-Camino..Resal------
Owner-----------------... - r ----
Menlo Park}California
Address. .............. ..... . .:------...
By... - -- - - DA. -4118
Co tractor, Agent
Form 280.1
RECORD OF INSPECTION
Foundafion..'.V-�2-r.��
Frame....................................................................
Stu
t -------•----..............Finish..
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