42420 M490I SAN JO�e_" � BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.-5Y1_1`4 Lot
Permit No._z/An_#zrd............
Application is hereby made for a permit to,��-------
-----------story, Typ�4�c.-'gz . ..... ... ..... .......................... .....Building
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Use zona --------------
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to be occupied only asx ---- ----- -- ---- Parkl'649 S ace
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in accordance with Plans, Specifi t ns and Plotplan7filed herewith.
Estimated Value of Improvements, $.!/..5_-)--.D/- _ . .
... .......
If 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 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 per.
son in any man er so/aa to viol t the workmen's compensation laws of California.
'W 11 , Au`t
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ByCang, ... ..... . ........ Address.....
Form 280.1
RECORD OF INSPECTION
Foundation ---._,/,0 .2- Z 3� `Freme
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Stucco ------`-----------
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----. ........................L' Finish ---777�-------
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