44261 1010 S�pfLmber
CITY OF SAN JOSE - ;iv BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract Nat-Y Lot NPVy-- ---------
Date,� -- ------------------------- P mit No. .....
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A H t* * here/bb
b for a permit to -----_---------------- ...........................
__,7p lice ion is ere!)�,ma —--------------- B.uilding
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a Use Zone -------------------
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to be occupied only as/,.'7
............... ,Ace ----------------------
in accordance with Plans, Specifications/and Plot-plan filed herewith.
Estimated Value of Improvements,
It is hereby agreed that the requirements of the Sen Jose/Building and Zoning Ordinances and .11 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 * �If&ee kmen's compensation laws of
Contractor
California
dress
so) d
8 ddress -- -- -- --- ---...... ............
Form 280.1 JOLO S--ptember R. J. unter
RECORD OF INSPECTION
Foundation .C4.-'l�-.�.i..L�._.-. .. ��'�--- Frame / �/
Stucco -----------------------------._...._............------..!�
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