39048 'OF SAN J.OSE�'otland BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.'�?—q--- Lot No. ------
Date-.. ....... Permit No.......
Z3
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Ajafion is hereby made fora permit to ..........&r.e.rm.T.,,....... ------------- -- -----------
a........I......story, Type_,��......... ?�Vr--------------------- Build;ng
Use Zone .....81-...........
at .... .. .... ancy -.4j................
to be occupied only as --------&-a— I ace .--.Z.......---..
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $------ ................
It is hereby agreed that the requirements of the 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 manner so a, to violate the workmen's compensation laws of California:
Owner lxa
Address ............ ------------------------------ -------- -----
CYOAOtredor Address ------
B, g ...... - -----z----------- ---- -
Form 290-1 1151 Scotland E. A. HA;,r4
RECORD OF INSPECTION
Foundation ---- Fra
Stucco ------ -------- - ------ - ----- ----------------------- ra
Finish