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BUILDING DEPARTMENT
APPLICATION
FOR
BUILDING
PERMIT,
Tract No . .................... Lot No .....................
Date. _A_'7 ....... / -------------------- 196--- Permit No.
Application is hereby made jor a permit to
a ----- story, Type.,,,..-
--- ----- ---- Building
at .. Use Zone ......................
Use
----------------------
to be occupied only as Parking Space -----------
in accordance with PI /", 2p,ecifications and Plot -plan filed herewith.
Estimated Value of Improvements, ---0-------._. ----
It is hereby agreed that the requirements of th aSan Jose Building and 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 workman's compensation laws of California.
Owner......... ................ Address 4:... X�
Contractor _5
Byx .7 6-/,Z/5 7_ --- -- Address ......
K,�� e�'
gent . ....
'Skogen
Form 280.1 613 olfinlaler
RECORD OF INSPECTION
----------------- ...... -------------------- -- --------
Stucco------------------- ------------ - ------ ---------------- Finish -------------- -----------------------------------------------
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