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CITY OFF SAN JOJOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract Ncr�7Z//---- Lot No. ..._..
Date:...............------------ 19ZPermit No..4.3.02/ ...
Application is hereby made f r a permitw�r----------- ............. ......__........ ...........
a --------- /--.-..story, TYP � ----"�.- -' ' - .... ./�v------ -- - - ------ --. Building
Use Zone :R.l_
u n y ....------------
to be occupied only asl..----- .....:{ - `� // � pace ....----------
in accordance with Plans, Specifications
and�Plot-plan filed herewith.
Estimated Value of Improvements, Ile - Z
rOU o 0-2
It is hereby agreed that the requirements of the Son 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 as to violate
the workmen's compensation laws of California.
lJ ../,.CJ1.q�...�L.eC'iAddress�,...lo •5~
O er ,f�"r'
-
Con ac
BYA9 _ .�------- Address -... -- ------------. - - - ....
Form 280.1
RECORD OF INSPECTION
Foundation Frame
4,00:0
Stucco.......... ------.---------- --------------- -------------------- 1 Finish .....
. ........... ............... .....