43892 CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract Nor.5.'�'..-72---I. Lot No. 1-72- _
Date.�� 4 ......
1�
. ....................... ..... 19.4....1 Permit No..4.3.ff-z..... ..
Application is hereby_made for a permit -------- ....... ---- ---- - ------------
a----/------story. Typ;q'.... ... ... ...................... ------------ Building
i Use Zone R-t-0-6
at ------------ pancy ......!:-------.--
to
...
to be occupied only as ------ ----- t*YA1&6
ikiingu Space ......2._......-
in
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in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $.Z� .. I
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c r,0
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 manny so t violate the workmen's compensation laws of California
Ea 0'74
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CZ ot.It"
B Aye��"WC
Form 280-1
RECORD OF INSPECTION
Foundation A.......... Frame ...
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Stucco ------ ----------- ------------.......... ----------------- Finish ..... -- ----- --------------------
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