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M416F SAN �_ e BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No:-�_4'�_. Lot No. .7----------------
Date.7, ................... --------- Permit No.Y.2-1-1--.7----------
Application is hereby mgde for a permit to-Z��Z5_? ........._----------------------------------------
a---------_/sfory: . ...... W..--
... ........ ------------------------ Building
Use Zone a_
at --- ..... Occupancy ---_et..........-
to be occupied only as,,-.._n _11`cl'I Parking Space ......._L.'.....
in a.ccordance with Plans, Sp-ecifi.56eaA41k�6
0 'Kerq with.
Estimated Value of Improvements, 'f�q.............
�
--- --------------- -**--------
If 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 San Jose, will be
complied with.
I certify that in the pericrmance of the work for which this permit is issued I shall not employ any per-
son in any manner I ' It th a umen s compensation laws of Calif 0
a e
Ownjer __� A 19
K
Address/ . ------ Y_ ------------
Contractor
---- --- ......
ByAg.nIZ ---�e� ..............Address -----------
Form 280.1 1024-Bubb R4.- R. J. Hunter—&
Aarxnn
RECORD OF INSPECTION
Foundation:
Frame .............. ----------------------------------------------
Stucco -----------------------......