43212 ��O bHhb6i�
CITY OF SAN JOSE� BUILDING DEPARTMENT
APPLICATION/ FOR BUILDING PERMIT
Tract Ne.-_7T'1 Lot ......
Date_ ............................1 19c- Permit No. q3-2./--?---------------
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Applicatics i h b or a permit tti��----6_Z'---- ------------- . ........................... .
a......../-----ktoi ---------------------------------- Building
at .
Use Zone ... ----------
.. ....I-------------------- - ------
-------- Occupancy ....4...............
to be occupied only as/, NIVCParking Space ----------------------
in accordance with Plans, Specifications and Plot-plan f�erewith.
...Zz___- ...
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Estimated Value of Improvements, $//
It is hereby agreed that the requirements,of the San Jose�Building and Zcning Ordinances and all other
taws applicable to the construction, location, and use of., buildings uildings 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 .n; an manner so a-s to vlolat�.e the workmen's compensation laws of Coliforn,
n'e Addresv/4 V
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C c r
By i. I------- ------
Addr
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F9-*_ 7'
Form 280-1
RECORD OF INSPECTION
Foundation ---- Frame -------
Stucco Finish -2-3