38609 6',Ji Ji,)L!;�4 i $bliifi�di� U4
'CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMI�
Tract No.,2Cd�_-P—_ Lot No., -----<..%
Date--- ............. ..... -----------------I lq_kPermit No. .... --------------
Application is hereby m"dr Wt T- C--P......... ------------- .........................
4 je- Building
.. ......................... .......--------
a_.W_C,.___story, . . ..... .. ..
Use Zone ----------
6
atc ------ _1!�_Lj_% d
Occupancy ...I--------------
to be occupied only as -I.A1.0...1L �rtking Space ....7�..........
in accordance with Plans, Specific -- --- ----- 4 N
Ic r6 nd o --plait iled re ith.
Estimated Value of Improvements, i 0... -----------
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 Son Jose;,,will be
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 workmen's compensation laws of California.
/A,
............
:eS;;-- -----------Address
Ownerj __?-- ---------------Address
co.t.ctor
.... ...:..B Agent- - ......... .. ......
7
For. 280-1
RECORD OF INSPECTION
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Foundation' _.. ._. . ... ...... .!(.y-GF�am
Stucco ._...-,--- ---...------......-------- ...... Finish .----rl..� .�_4.. .--'---���lJ C"L`-
or'I.. Tr 5'7'u0g
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