43892 CITY W!illllc_� BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No%37�'777.../... Lot No.
Date ................................. 19.�_�_/ Permit No.4V
3Z......v/
Application is hereby d f a permit f 11��
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T .. . ... T ----- -------------------- Building
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a f -_.zf �4�1 Use Zone KIIZ.C�....
.................."
ccupancy ----- r...........
to be occupied only as k_ 0 I'L--
.... ............................... Parking Space ------------
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements, ---------------- 00
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 performance of the work for which this permit is issued I shall not employ any per.
son in any Vmanne so ap a violate the workmen's compensation laws of Californi
Ow r ._,�. . ...... --------y 9(10�0_c-.Address ..............
Cam itor
ByAge /6
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Address ------- ------------------------ ------------------
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Form 280-1
RECORD OF INSPECTION / n',Q
Foundation ..J��1p%(ps'.---c� 4Cif,4rlc ..._--- Frame : - �� �,6Q�".
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Stucco .7.TU;.C� Finish ,/'
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-- ......................-- Finizh �.-------`J'G` d