41322 91% OF SAN J18ate BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No- -------------_---- Lot No. .. .. ............
Date------- -------_---------------------- 19..&.3 Permit No------
. ... -2-
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Application is hereby made for a permit to ___ApO------1.-6..................... ........... .......
a----- story, 1411), 77;,r� ............--- Building
one ---
------ --------------
.. r/a ,Foos - panty ...........
to be occupied only as .... ..e��--- ----------------- Parking Space -----2------------
in accordance with P fil -With. ,
ificafions 7 P f-p ilo hjLce
or a
- --- -- ....
Estimated Value of pr ents, !Vl
It is hereby agreed that the requirement, o4 the San Jose Building a Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of Son 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, ----------- --------Acldress<Jg-- 1--- -- -------------------------
Co.rador
BYA'gent------------------------------- ........._......Address ------!�....................... .... .................. ..
Form 2801858 Bette Ave. Calvin A. Stafford A--z6-4o,,
RECORD OF INSPECTION
Foufidafion ----------------- - ---------- Frim6
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Stucco ------ --------------------------
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