43892 CITY BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No:jd.- Lot No. ...... ....
Dafe-.3// 19_(/- y Permit
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Application is hereby made for a permit tA_�................ ----------------------- ............... -------------
-
a-------/.....story, T . ....... ----------------------------------. Building
Use Zone ---
---------------------b
anc- -- ----)Space be occupied only as I Xng ce ------
in accordance with Plans, Specifications and Plot-plan filed herewith.
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Estimated Value of Improvements, $_'4�......../.....c
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 he work for which this permit is issued I shall not employ any per*
son in any manner/ a as t violatehe workmen's compensation laws of California.
r� �1a. 4 4' y'
Ow aer -? , - ' W*/ Aciclrals/�� -------
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Contracts
..............Address /`.:.4 -'--------------...................
Form 280.1
RECORD OF INSPECTION
Foundation
.. ---------- Frame
$fu7cco .... .......... ............ ......