38563 SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract Niz�_14'e1" Lot No///--------
19--------- P 3 -- -------
Date.....---------------------,
ermif No.
Application 'is hereb d f a permit fl- .......
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I
a. ------story, Type. --- --- - - ---------------- Building
00 1P Use Zone ..... . ..---------
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0i
to be occupied onl/ 7-- 100
—_ ---------- - - - -- - 0I/I arvkg,,Slwl ------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $//3�00C) C�
_--...__...I_- --- ------
If is hereby agreed that the requirements of the San 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 i any man er so as to violate the workmen's compensation laws of calif ,
Ow
er ------- ----Address/4
Con acto Address ::------------ -----_---------- -----
B y A ant
Form 280-1
J _
RECORD OF INSPECTION
Foundation !; . .----ID-Z-_-1+!!F.0
Stucco .. - Finish .: