39960 SAN 'J!05E'h 4-��b' mace BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.,? --- Lot No. ;)..............
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194-� 7" Permit No. .......
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Application j.s hereby made for permit to'; ler - ....................................
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-11"
Typ;;� '1_7 Building
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a.----f------story,
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5 mi ii A4 Use Zone .. . . .........
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to be occupied only as Parkin
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in accordance with Plans, Specifications and Plof-plan filed herewith.
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 Jos., 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 8n�nnev f violate a workman's compensation laws of California.� / - 1 0
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Address/�& — - — - , .1, - -- -----
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Address .......
YAg.nt -
Form 2801
RECORD OF INSPECTION
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