40020VIT'Y OF SAN4W"'�'-" BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. . .... ....... Lot No.1;2. lfl� ..........
Date Permit No.'. -q 0 0 7. 0
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Application is herebb)y��a,!Ofor a permit
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a...._/..---.story, Ty k:-�2 --- - --- 4 -- --- ----- ---- Building
at /Zns� ------- --
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Occupancy...... ---------- -
to be occupied only as ----- e�
�/—arking Space .-....7-... ........
in accordance Catics p an ac herewith.
4c - n a d WPIoK��
/_5 0' /Estimated Value of Improvements, $./ ------------- J. - --- --- -
It is hereby agreed that the requirements of the Son 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 ---- - v ' --shall not employ any per.
sonin en manna so a ,lif
ornia2 1;
... Aciclress/11�1 --- i�" -
------
.
Contractor
Bynoet the workman's compensation laws of C----------- Address -4 ---...z......--------.`.-------------.._-----.
Form---------------------------- ---------------
Form 280-1
RECORD OF INSPECTION
Foundati Z - 2- 2
xFrame------ ---------------- ----- ------- --
Stucco------------`-------- ---------------- - ---------------- ------ .--371.-Finish -- 9
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