40212 L194 Cr
CITY OF.SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract Nor7l' �-Y� Lot Nocp5j_�
----------------------------------- 19 ...... er it No------------------------------------
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Application is hereby I a permit f��
for ---------------------a........../---story, ,Ty Bu
ildi
---- ----- . ........... ------------------------- j sng
if Use Zone
at M_4u,
Occupancy .....=-------------
to be occupied only as ac
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in accordance with Plans, Specifications- - - -- - . a d of-plan filaderewith.
Estimated Value of Improvements, -Y_--2)-- ---f------------
It is hereby agreed that the requirement' 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 with.
I certify that in the perfcrmance of the work for which this permit is issued I' shall not employ any per-
son i y m a so as to violate the workmen's compensation laws of C�alifcrj
Ow r] 07 'r -7___..------j.
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-n f - ---------------Address/4z,� - ------ ---
er. .... ..........
Con
YA9.� .................Address ............................
Form 280-1
RECO/RDD OF INSPECTION
Foundation . /`. 'lO / '^�✓/ Frame'. 7_G 3
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Stucco -- =------ ------ --------------------------------nish - ---.Z -1r..3-
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