39312 7543 Normandy Way
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract .. Lot No.
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Date--- ----------------------------- Permit No.
'Application is hereby made for a permit to ----
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a------ --.....story, Type------- ............... Building
at __-7-��V...... Use Zone l? -'../-------
Occupancy -------------
Pa
to be occupied only as ..../_.....- rking Space !_A�--- ----
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, ........
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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 Son Jose, will be
complied with.
I certify that in th performance of the work for which this permit is issued I stall not employ any per-
son in any�m.that o as to violate the workman's compensation laws of California.
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Owner ...... ------ -------------- Address 16?J
Contractor Address ��--------1�.Xv----------------
ByAg.nt...
Form 280-1
RECORD OF INSPECTION
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Foundation -- ----------------
$tucc(\-('' -- ---�.Q-'�.LZ'C.2 Finish -------- -/-------- -�- `'--�
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