39960 ll SAN JOSE C)*"*A/b4" BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. Lot No. .3 ..........
-7 01
Date.. ---- ---------------- . .....1 196, 7, P it N .3
o.... .
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Application is hereby made for a permit to'j��T
. ............. ...................... ...........
a........!----story, Type .Ife__S_ - - - ------ -- ---- - .....*--------...........
---****........ Building
T'_ Use Zone ........_
at ........A..-. Occupancy .....It------------
to be occupied only as ....... Parking Space ------IL-----------
in accordance with Plans, Specifications and Plof-plan filed herewith.
Soo
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Estimated Value of Improvements, $ /--------------el...............
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 San Jose, will be
complied with.
I certify that in the performance of the work for which this permit is issued I shell not employ any per-
son in any rri as fo i.lafe f workmen s compensation laws of Ca
lifornia. \
'��o'r.0 -.Address/
0 ---- ------ ... ...
Contractor
Address
. .....
Addr
Form 280-1
JRECORD OF INSPECTION / Q
Foun a 'MS,C -
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ZFrame ._1.1- J.-_b.2- . � �+
`._------- ----.... Finish ._...� -✓