42420 LWOF SAN BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT,
Tract Lot 'No.
Date-. ..........
-P N ----------
Application is hereb Ti;f
-------a...........for parim ----
a..... ......story, Typ --------- -------------------- ---- .. .... . ........ Building
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at ......... ------ cu 6 ,W_....-----
to
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to be occupied only as --- ........... Parking Space ---------It
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in accordance with Plans. Specifications and Plot-plan erewith.
Estimated Value of Improvements, $. .. .........0 41)f--......... ----
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, shall not employ any per-
son in any men r so a fvioletstheworkman's compensation laws of Cel a
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Form 280-1 W
cJ RECORD OF INSPECTION
Foundation ----% z- t- G-3--{'!" •�.._... Frame , ...//.. ..f'.....��... .lG.4�. .'..'�!'�---
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