40506 2
CMIOF SAN 0 BUILDING DEPARTMENT
APPLICATION FOR, BUILDINGS, PERMIT
Tract X Lot No. �Z_
-------- ....
Date.............. -- ---- ..... 19..�� L
... ......... P rmit No.___-1-6 � 6
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Application its her b de r a per i -------------------- -------I........................... ...............
a......./......story, TY - ------- . .. ... ..... ----------------- Building
at 111,17 . .............. Use Zone ---------------------
cupanc- ----------------------
..Pt�
__0 IVNJ!�7
Is
to be occupied only as Z� ng Space ......................
in accordance with Plans, Specifications and Plot-ply filed 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 San Jose, will be
complied with.
I certify that in the parl of the work for which this permit is issued I shall not employ any per-
son i compensation law, of Coliform
L/
0 41L.,-g. ._/.....,..
w ........Address ----------- - - ...
C a
B;A ---
........Address --
z. ----------- ---------
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Form 280.1
RECORD OF INSPECTION
Foundation
. . ......... ------- ............... Frame ---- ------------------------- -------------------------
Stucco ........... . --------------- ....... ---- ---- --- ----
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