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CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION. FOR
BUILDING—PERMIT
Tract N6 �� Lot No 5........... �f z,
Date -/'./.7.----..._ .................. 19 ermit No. `T ✓-ZI2—
Application is hereb de or
a------l-..ssttory, Type.U..._ of - r...3.8......
to be occupied only as
in accordance with Plans,
apermit io ---------f ........................................---------
7:. .....:-- -�. .. -------- -----------Building
Use Zone .. 1
--
Occupancy ....... .-----------
---------- Parking Space ........ 1' ----------
Estimated Value of Improvements, lr�,>�_ --- .' 1_Y............
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 shall not employ any per.
son in y nrier s �o violate the work ens compensation laws of�gCalifornia. s
Own .. G l� �✓ �" ..a C .... Address/Z .s _r� - -
Contractar
B Av.ar. C.------------.Address--(/,-"
ddress- -- - ------......._...-----------...
Y -- r� - -- --.. ..
Form 280-I
RECORD OF INSPECTION
Foundation Frame
Stucco .......... ------------ ---------:-._-....---'--....._/ Finish
............
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