43892 0�j
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract Ncr;�.�_"�---- Lot No. .._......
Date--7-7/- -------- --------- - --- ----- 19 Permit No._4-.&K�Zw...V
Application is hereby made for a permit to,—,
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a..-----/--q-.story, Type;��... .. ........................ . .... Building
at
Use Zone
--- �Zt----------- ... Use
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.................6.........'...._ 1�
to be occupied only as . 67 -1
Parking Space ....2.............
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in accordance with Plans, Specifications and Plot-plan filed herewith.
2000 00
Estimated Value of Improvements, $ ----------/__-
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 any mann r h en's compensation laws of California
0 Address/
n --------- --
1.
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C Wa ----- -----Addr ,_ - --- ---------
8;A
Form 280-1
RECORD OF INSPECTION
Foundation ........ F,ame
Stucco -;--------- . ..................... _..... .. __.::V Finish