32905 l CITY'OF SANDfbsvh}
� � r BUILDING DEPARTMENT
APPLICATION /FOR BUILDING PERMIT
a
Permit ....---
Application is here do or a /permit to ---------------------------------------------------------------------
J
--- --stor ------- -- ----- -------------- Building
a.-------/-- T 1,4 - - —
of -- ---------- ---- - /
to be occupied only as .................... . ----//- -
in accordance with Plans, Specificati3fi 6� PIOAAW66
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 p rformance of the work for which this permit is issued I shall not employ any per-
son ya� nn.r7 toiolpte theewworrkkmen's compensationlaws of Cali rniaOw 'CC�GtZe �"y`��.----..Address/.( -Tom',°: i�if�.b-r----------..
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� � Address `- - ... --
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114 -qy fSry Y"f'e w H�4 er
Form 280-1 _
RECORD OF INSPECTION
Foundation ------ ------ Frame 4r� 1-9
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Stucco ----------------------------- --------/ Finish -----------
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