46182 CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract �.....Lot No.1/...
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Date..-......
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Application is hereby made for a 'permit to ------K Q ------=-------�---------�--------------
a----•'----'----story, Type..J�
16.!?� .. . --------------------------------- Building
at zL2_'.X_"4... .............. Use Zone---- -------------
ccupancy----------F. .........
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to beoccupiedonly as ...../._.....:................. ... "/&ftioking Space------ le—
in accordance with Plans. Specifications and Plot-plan filed herewith.
Estimated Value of improvements,
It is hereby agreed that the requiralents of the San Jose Building and Zoning Ordinances and all other laws
a
pplicable 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 person in
an, manner so a, to violate the workman', compensation laws of California.
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Owner I Address
Cont5
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By Ag
RECORD OF INSPECTION
Founda+ion...<J....-z2_::. -�cP. q ti,....Frame.......i.-Z G'
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Form 280.1—IOM-12-63