41993 8181 Hyannisport Drive
CITY OF SAN JOSE BUILDING;DJE RTMENT
APPLICATION FOR BUILDING
PERMIT
Tract Not Y2y.. Lot N,.,5.___3-------- f7p :Z>
Date------J U-N...L..8..-1963.__.-. - ........... 1 19------ -- Permit No. -----------------
Application is hereby made for a permit to
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14 A . ......2.r.--...'
a......4.....story, Type-, -.A.2......i� _. ---------------- ------ Building
/F -;��, Use Zone -----------
at .0 _Z7
Occupancy ..............
to be occupied only as ---74,�- P rking Space _Zn—--------------
P d
in accordance with Plans. Specificlo, nd P!4pllAki Ch)Zith.
/ 7 -7a
Estimated Value of Improvements, $ , 6 0* -___.
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It is hereby agreed that the requirements of the Son Jose Building and Zoning Ordinances and all other
laws applicable to t construction, location, and use of buildings within the City of Son Jose, will be
complied with.
I certify that in e performanof the work for which this permit is issued I shall not employ any per-
son in any ma so as f vioiolaa a a the workmen's compensation laws of California.
..
Owne . ...._..Address
,1
Contra or 2633 G 9SCOM
ByAg.ni--------------------- --- ------------------ .... ............ Address ---------CAMP-r'l-1...CALiF...R.NIA%--
Form 280-1
RECORD OF INSPECTION
Foundation _22'C3k44,8 - I t -(a 3
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Stucco -- ------------------- ------- ------------------- ... Finish /=-:F.mw4-w/
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