401131165 Cand,1�`
CITY OF SAN JOS
BUILDING DEPARTMENT
APPLICATION FOR B UILDIMG9PERMIT
Tract No. �O� Lot No.,,;; -11__.
Date. - .....� .;(.................'., 19.�.� �rmit No. -_y 0
Application is hereb�rri for a permit t ................._------------..............
to be occupied only as 1....
Use�Zone
Occupancy"
Parking Space
Building
in accordanAet ens, Sp if f, Plo - filed herewith.
Estimated VImpro enh,$l._......��(...�.........—.----
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 San Jose, will be
complied with.
1 certify that in the performance of the work for which this permit is issued 1 all not employ any per.
son in any mranne�so as + violate a workmen's compensation law of Califarni01
Own ut1 y --- ;r � 5 � �/ �.....
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cenfrac+a���-(�
By tact —i ii. - - - - .... Address:-,;-"
ddress/"
Form 280-1
RECORD OF INSPECTION
Foundation ---- 6 2 Fra
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Stucco---------------------------------------------
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