40038 C1144F SAN JOSECliffor� BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.),t)._7.7........ Lot No. .. ... ... ?
Date--------.....--1 ..�.�.7....-----------., 19_41.;-, Permit No.40---�1.--,1.. .--------
Application is hereby mad or a permit to4D ... ?8.. .�.le.OP�K... �...
76 a----I--------story, Type.,... .. .... - .� 1, .i ---- �. Building
at ��� a�� Use Zone .....�._-....-..
to be occupied only as dhf!:..-P"i.. Z� 1,1,41 e - ..............in accordance with Plans, SpecificationsandPlot-plan filed herewith.
Estimated Value of Improvements, 5.1 .D _..—
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.
I certify that in the performance of the work for which this permit is issued I shell not employ any per
son in any manner so as to violate the workmen's compensation laws of California.
Owner Lr _449 ........ --- Address -----vm_ltl........ ..._.........._........
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. .. ..Address --------------------------------- -- - -
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I RECORD
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