44675 1028 N6,V6tftbP_r
CITY OF SAN JOSE A BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.'Y.f"/y---- -Lot No. 9.!-----.
--------------------------- -----1 19.......... Permit No.
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Application is hereby m d f r a permit +o,• 42r_.. --------------------------------------------
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1:4 — & .... Building
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Use Zone ..._(.. .1..._..—
Occupancy
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a
to be occupied only as ../---—---3;7-0�p , /IA/Ae?P4ar—l�icr"vwctg;�pS�Kn4aiccoo ...........
or
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements. $.--- -------ce .
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It is hereby agreed that the requirements of the Son 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. o v,
I certify that if, the perfcrmance of the work for which this permit is issued I shall not employ any per-
son np1pr soas t violate the workmen's compensation laws of Califcrria.
..r X415 ..... ...:..... ..
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4A Address
Form 280.1
/RECORD OF INSPECTION
Foundation
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Stucco ........ ................... ...-.__v Finish ----- ��li�G y -A�e
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