41176 Xtk
CITY OF SAN JOSE' BUILDING DEPARTMENT
APPLICATION FO& BUILDING PERMIT
Tract No.��Z-K Lot No.Z-Z---------
Date....................................................... 196--,-� Permit No. 710
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permit +o/
....................
Application is herebyradeora ------ ...........
a........../...story,
.�G -------------------------- Building
at Use Zone ----------------------
0ancy -- ---- -----------
to be occupied only as iki , ;Space ......................
in accordance with Plans, Specifications and Plotpla!1fi herewith.
O
Estimated Value of Improvements, $
It is hereby agreed that the requirements of the Sen J os e/.....
Building and Zoning Ordinances and all other
laws applicable to the construction, lo-cation, 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 asdo violate he workmen's compensation laws of C I f
Own, -------
Address ---- ....
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Contractor X?
r
ByAge .. ........ ............Address
Form 280-1
RECORD OF INSPECTION
-7-
Foundation' —----- ------- Fie
Stucco -------------- -------------- 13
------------- ------ .... Finish --- -- --------