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CITY OF SAN JOSE 'PL AU K BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT„y""eSer 0?,S
/ Tract No... �0-3 4/--- Lot No... 4 ..............
Date---- 8/ ;�.7 -------------------------------- 19..�.T. Permit No.
Application is hereby made a permit to .---BLD,
.. - -
.............-..---------- -
a - '........ story, Type- .......... - 11 ............... . Building
Use Zone ..�-�--------.-.
a+../057- ---- t�pJEMBEQ..... TiRlVE !/Occ6pancy
to be occupied only as --- %.....F,4.A.._........,,.. �I '� Perking Sp�e ...._71..__...
in accordance with Plans, Specifications and Plot plan filed herewith.
Estimated Value of Improvements, $...1.2.000--------------- -
It
-._.--- -_-
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 Sam 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 workmen's compensation laws of California.
Owner ._ -- N.T .¢..ASSOC-,---.Address ..la.�o.`.-So. ryl A4?..q------_..
T s.J.
coao-ecM ��L � -Address
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Form 280-1 19 3PO/ 13—/
RECORD OF INSPECTION
Foundation
..........Gai[Lj ...... Frame
Stucco . ----------------------------- ------
7 ---- -- " --------- Finish