42815 WOF SAN JW4�6" Lane BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract ----- Lot No. ----------
Dat � -3 Per it No.Ylf?.Yi
/ 1?
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Application is a permits hereby_made for mi &o-=---------------------------- --------------- ... . ...............
a----/------story, T a —5-
........ ---- ----------- ------------------- Building
Use Zone lb..ais.....
.. . . ....... .. Occupancy -------:------------
to be occupied only asParkm—g Space ........e............
in accordance with Plans, Specifications
fled andL61;o/f-plan4 herewith.
i Estimated Value of Improvements,
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.
s . an manper s to vioajo the workmen's compensation laws of California
0
Acldress/,?�
-------------------
own
,1..�' ---------------
11 Conc-� 9�-'Z Address ---- --- --------- -------------- ......
9 .......... .............
YAft;
Form 2801
RECORD OF INSPECTION
Foundation
. ....... Frame ./=.7
Stucco - ----------------- .... ........ ............. --- Finish
gr 7775;��o
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