40898 �6§6 r1a
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FORBUILDING PERMIT
Tract Nol.z:�.7� 7�!y Lot No.,7.-3--------
Date--------------- ..... .......................... Permit No......41'9efit..........
Application is hereby mods for a permit fo6��
..................................................... . ...............
a........./----story, Type-' ------57 1------- . ............ .............. ------------------------------- Building
Use Zone ---fl-'r--------
-----------------
---fl--(---------
at -- ---- - -- - ------------------ .... Occupancy -------/-----------
to be occupied only as/_. ............. a Z,
- ---------
file~
rewl
in accordance with Plans, Specifications and 108flon' rewi
Estimated Value of Improvements, Sz_�_
It is hereby agreed that the requirements of the S-an-J-0-se.�Eui ing and Zoning Ordinances and all other
lows applicable to the construction, location, and use of buildings within the City of San Jose, will be
complied with.
t certify that in the performance of the work for which this permit is issued I shall not employ any per
li
son n any violate 0,7e workmen's compensation lows of Ca fo nia.
Addres ----- -------------
----- ------
------------------- ... 7z-
A Owner a -
Form
m 280
RECORD OF INSPECTION
Foundation ------ 3.
---I----—--- ---- F,arn 1 Z---- 91
-- ------- ---- 4
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Stucco ------------------ --------- --------------------------------- Finish