42420 ILWOF SAN' Joggb� Z. BUILDING DEPARTMENT
APPLICATION FOR j3UILDING PERMIT
Tract No.,F YYA,t NO. ....................
Date-&I --------------- 19-4<.�l Permit No. ---------
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Application is here a or a permit
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*�7716-V: I
a -.story, Type. --- -r
------- ---------- - ----- --------------------- Building
at Use Zone A-Ld----------
ancy .......7:---......
to be occupied only as --- - ------ AAA�35,eng Space ........I—---------
-----
in accordance with Plans, Specifications and Plof-plan file erewith.
Estimated Value of Improvements, ;1. 5.. ./..--..--..
Z,
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 performance of the work for which this permit is issued I slhall not employ any per
son n n violate "e workmen's compensation laws of C.lifcrni�h,
r
oO W
ne .........
recta
C
B ....Address -- ------- ---
Form 280-1 G/
RECORD OF INSPECTION
Foundation ----- f...--�:.�Frame
Stucco ... -- ----------------- ------------- -----------Y. Finish .kwll:_ci.