44628 i6jj RoveM
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No 4 Lot No./ L3 -------
e /
Date-. .7---------------------------------- 19-- Permit No..-;. y�.'
---6.2---4... .......
Application is hereby made for a permit ...................... .................
------------- .......
- ' :2- 5��
a----------!�_.sfory, T
7__ - *1 r� ----- . .. .........L--------------------------------- Building
aflz�_S.f Use Zone ..... -------
............. ...........................
...............
Occupancy ---------- I---------
to be occupied only as - - 4 YX/vve��r ..._.....jam.....Parking Space
- 1;P"I
in accordance with Plans, Specifications and Plot-plan filed herewith.
ey..0
Estimated Value of Improvements, $-- -- _............. ---------
It is hereby agreed that the requirements of the S-an Jose Bu/.
ilding 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 the performance of the work for which this permit is issued I shall not employ any por.
son
o in any mann o a to violate the workmen s compensation laws of Cal
0 <ddress ..10... -------------
C
B Address --- -- - --------- ---- --
Form 280-1
RECORD OF INSPECTION /
Foundation - FF.fc�,.__.... Frame .F/.Z.T'G -_..._----
Stucco -------.-------------------Finish �._ -3.------ ..
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