47702 871 Lily
CITY OF SAN JOSE BUILDING DEP E�
APPLICATION FOR BUILDING PERMIT
Tract No.-------..............Lot No.-------•----------------Pe rmit N o....z
7&�
.........�Q...... _27
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Applicat-2 is hereby �moae for a perm* to ..F".'7.. ............
a.......I........story, T .......... ..
. ..... .................. ....... . ............................. . Building
at ........:5"..XL- �...... .... ....
Use Zone.. ...i..........
Occugpancy.........1.............
to be occupied only as .....-..1.............. Parking ce.......... ......
in accordance with Plans, Specifications a Zt-plan filed herewith.
Estimated Value of Improvements, $........L.. ............... --
It
-?it is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other laws
applicable to tho'construclion, 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 person in
any manner so as to violate the workmen's compensation laws of California.
Owner. O .. ....
..... ...........Address..bt.7Y—.-cP-,
— C----------- ...
.............f.......
........
Contractor
ByAgent........ ...........................................................
871 Lily R. Grover
RECORD OF INSPECTION
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Stucco........ ..........
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--Z-7-
FORM 280-1 -10M-2/65