39793 'CW WSAN. jOSESollinger Rd. BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
I
Tract No. ---- Lot No. -------5------471
It
Date._..,5-&/,0 Y i......:7--------- .......... Permit No,�.,M9_3------------------
Application is hereby made for a permit to .13Z1.1-1.101............. . ----- :....._...............
`IK6thrd;A_.e,_d---%Ort.O-�. .
Use zone eC. Building
z
a _1_-----story; Tye X_
at ---I..............
Occupancy .J-- --
to
J-----------to be occupied only as Parking Space ..Z........_...
accordance with PIV icationA)l ' I..Vne .bar it
n Plot- -6 ew h
o
f 410
m
Estimated Valu a ts, 4Y.J,. 1. ing Ordinances and all other
r., f the an Building an I
It is hereby agreed remenf
laws applicable to the construction, location, and use of buildings within the City I 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 A; klez
40t.-ffr7_1_ -Address 144.3 F2qY-
ByAgent .......Address
Soh Jose
Form 280-1
RECORD OF INSPECTION
s ..:...... ....... Finish 23 6 3 �g
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N o 7 Co m p/-457ED ,
6100 dME.MdF7E/Z
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