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"tify OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT,,7
Tract No. X----- 'IIAV� C13
Date-----------------------------------'/.---Z.......... 19-C Permit No. .3-&6-cl.?-------------
Application is hereby ade for a permit to ------4L-0------------------------------------------------------
P:re y
7r
a-6Y-E------story, Ty ------ --------- --------------------------------- Building
-?"fat --Z-77 Use Zone ...&-Z........
...o"Zr- ------------------ --- -- -- Occupancy ..-....Z......-....
to be occupied only as . ........ V----....EJ Parking Space ........'Z--......
--- --------
in accordance *" P'ansr.OS a fficafion and PI -pa 11 here i1h.
Value
limp p 'T'�
s
Estimated Val eme
It is,hereby agreed that the require nfv ose Building d aping Ordinances and all other
cr'
laws applicable to the construction, lo ation, and use of buildings -w--:th% he City 0 an Jose will be
re , so Bwl 19
1. at
complied with.
I certify that in the perfcrmance 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 � KC Ol ..............Address
Contractor
-----------Addre 'W��A...........?kZZle---- ----
ByAg.nt ---------
Form 2BO-1
RECORDOFINSPECTION
a _. ...'.4
S4ucco .......... --------------- ---------------
----- -.._... - Finish ._