43892 CITY bi,�AN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.--:?e-_z__I/_. Lot No._74--------
Date.. ..................................I 19 .r P it N 438c
Pe i No.-`T--- ------------I-2.---V
Application is hereby d t a perm .................--------------------------------------------------
her y a or.,
a......../-----story. Typ �4_0----- ------------- -Building
VIA Use Zone
..........
z
cy ----- --
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to be occupied only as ar nXpace ......;4...........
I in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, coo 11-0
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 re. so a violate the workmen's compensation laws of Californi I aP
.. ......
a ...... ddress,4
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Co Fact*
Age .. .. .. .... - -------- -- -Address - -----------------------------/ ..--- ---
I I
Form280-1
RECORD OF INSPECTION
Foundation --—------------ Frame
Stucco ------- --- ------------------ --------------------- h. .... Ile
---- Finish
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