446751038 Noveinbo_r L
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FQR BUILDIr 'ERMIT
Tract Na y - Lot No. ------ �' ......
r /
Date..lC2... ......:..........._ _..., ISCz..I�(
Application is hereby made for a permi-
A7
°------/---story, Typf�......'ti1 --- ...r�....:G
a/_P.... IvV --------------- -.. f�Building
Use Zone ------
/I O ucc paney 1
06 �' --------------......
to be occupied only as �..—. .�r..�� Pa�kingoSpace ...._....7�.....
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements, V&'ev ' ...................).........
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 San Jose, will be
complied with.
I certify that in the performance of the work for which this permit is issued I shell not employ any per-
son in an en er so as }Violate th workmen's compensation laws of California. -
w _. �LLsr_L`G�ddress/r�_ - i f/,Gu....
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Co
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Contract
Ryna. Address: .........
Form 280-1 _
RECORD OF INSPECTION
Foundation -7- 2-1- '------
.......... ...... ................ !7)mmw7: Frame - -,
Stucco---------'-----._...I---.. ........ ----------------------- . Finish .........
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