38666 §4i-4j
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION WR BUILDING, PERMIT
Tract No. ��T'2-1_of No.
Date---------..... ......... ---------4/....:; 19---l(l), Permit No ---6��d.......
Application is hereby made for a permit to -41. .. .... --------------
a.-.....e------story, Type,
=....ao . ...... ....................... Building
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at ....... Use Zone
Occupancy ........ --------
cupied only as Parking Space -------
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by a
It is hereby a reed that the requirements of 4 San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, lo�cafior, 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 manner so as to violate the workman's compensation laws of California.
Owner e�0��_—A)Ae&��Address
---J.Q Address ------
Form 280-1 9441— 3- 3-1 ler Davis Graham
RECORD OF INSPECTION
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Finish
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