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CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.��—f-�'_-Lot No.'�� --------
Date-. ---------------- Permit No.
.. ...................
Application is here _fora permit to /...... ---------------------------------- ...........
Building
a................story. ype------ -- ----- --- - --- --- -------------------- uj in
Use Zone 01
---- ------
cupancy ...... ............
to be occupied only as -, ..... .......... .... ki g Space ..._:7.r..........
A
in accordance with Plans, Specifications a Plot-plan iled herewith.
Estimated Value of Improvements, /..........
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 Son Jose, will be
complied .!f1h.
I certify that in the perfcrmance of the work for which this permit is issued I shall not employ any per-
son
manner so ate the orkmen's compensation laws of California
son 'n vi no
Own. 'Ail
......... ------
C
ddress,/ ...'--------------------------------------
Form 280.1
RECORD OF INSPECTION
Foundation ....I �..T.-'6.2r;.[`^'W�--- Fra Z—Z 8..'-----------------. k----------
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8
o------
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Stucco - -- Finish / - '
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