43892 CITY OF SAN JlOite%' r BUILDING DEPARTMENT
H APPLICATION FOR BUILDING, PERMIT
Tract No%3 2/----- Lot Nci.,Z.t......... .. 4
Pe vi
Dafe.. 11W---------------------_............
�_?//.... .............. ..................
Application is here6y -wade for a permit faco --------------------- ------ -- -----------
a._...../.....story, Type:�_C.14 ?4/0�1---- - - ----- ----------- ------ Building
Use Zone ....
_*V/VO4, Occupancy .....J---------
to be occupied only Parking Space ...z-----...._-----
in accordance with Plans, Specifications and Plot-planfiled herewith.
I
Estimated Value of Improvements, $------- ----- /...../2-V U
It is hereby agreed that the requirements of the Son Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of San Jos., will be
complied with.
I certify that in the performance of the work for which this permit is issued I i shall not employ any per-
so a '.0;1ate h lumen's compensation law, of Californ a.
son in any mannei, a workmen's
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owo� ...............C.....Address/ ---- -- --------�.
Contractor ��71--- ------ --- ----- ------------ -
ByAg.flt �-/o ......................Address �-------
W.....ela9�a
Form 280-1
RECORD OF INSPECTION
Foundation ........ Frame,
Stucco ----------- --------------------- —2
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