43418 117 B�I:Ichag _
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING. PERMIT 4 o A
l$. .
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Tract No. .32-81 Lot No. - -
12-2 _..
Date.------.__.. .]...................................... 19...63„ � . . Permit No.--- -- ------------ -=---
Application is"hereby made for a permit to ........LOnat27.1.C.t-------_............. --- -------
story, - - _...... - - --- - BgJdm9
a..---1-----story, T e.. =Y--- ... --- ... .. . . ... . . b
a+`•122 .:. Use Zone �1- ---
7••$ Occupancy
to be occupied only as .._ e.S.iS1enCg„----.- Parking Space ---- ----------
in accordance with PI n pecific •ons n P t-p n herewith.
Estimated Valu rove a
If is hereby a e requirements of the Sen Jose Build' end Zoning Ordinances and all other
laws applicable to the onsfruction, 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 manner so as to violate the workmen's compensation laws of California.
Owner St nf.S.4n.... .9nS. ... .Ct30 ....---Address P.e-- •...BOX_131.f-------------- ---
Contractor , rrp,. , �/���� .�� San Bruno ------
Byny.nf.. . .... '... ...:..5 . .: .: '.:...Address
Will_____ A. lant, Supt.
Form 280.1
RECORD OF INSPECTION
Foundation ----
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Stucco ------.--------- ina