40898CI0 OF SAN JOSEi/ ' l 1 L"6 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No ..................... Lot No...c..
Date............ - -- ....------- .............. 19 --- ..-- ��it No. ... q -0 - f. .........
Application is here" ade for a permit
ta%........._............................................
�
a ----__---.story, TYp v. .._........_......... Building
at l0,-7..0 .._..1/� arc '-------...6�P Use Zone 1 ..-.1....
- / lull, .....f
to be occupied only as !.._�.. ................_.. V ar mg S ace`�.......21...
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements, $' /J.... ---- e.
It is hereby agreed that the requirements of the San Jose ilding 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 en ginner so ae violate t workmen//'s'' compensation laws of Celifor ie
�i CC24EF ��ln� �__ /i..v.'
Oww t... ..,.�.--- �1 .................. Address ---%--
Bo^nt �% '.
y aAddress/................. ......
v
Form 280-1
RECORD OF INSPECTION
Foundation .3_-A. T7b-3 RAFrame
Stucco
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