40506 D
CITY OF SAN JOSE, BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract Nos . Lot No. �4----
Date............. ........... )...... 19(_1_Y- permit No .......
%
Application is hereb ad or a permit tot � . .............................. ..............
a.------/.....story, :7�v... ... .... .... .. .. .. .................... Build"
'ne
__zat /z.z.9,_&Z�--- ---- - ----- Use Zonek'..---- --
Occupancy .....
to be occupied only as. 'P a ----- .......
--------------- --- ---- P
in accordance with Plans, Speci I i n and P145
Estimated Value of Improvements,
It is hereby agreed that the requirements of the Sen-Jose l-u-ill-ding and Zoning Ordinances and all other
laws applicable to they,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.
T
s n any mALnner so a� to violet the workmen's compensation laws of C I or
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on
Own r ---f 'X_Zz ------------------------Address ... . ..... ........
Con i�K •.. ._.... 7
"cho ..........Address ------- ---- ... ----- -
BYA94 fl- .6. ......
For. 280-1
RECORD OF INSPECTION
Foundation --- - - - --- --RAkA............ Fa .-314--6-5---- k.. ,&._----._--
---... .. .. .. ..
Stucco ----------------
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