43123 V CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No:=F3K4/_Y_. Lot ........
Date :-------------- Permit No. 3/_03._K---------
_----------- --- -- -- ---
Application is hereby made for a peimit fo;��----------- -------- ------- ---- - - ------------
a... ......_story, Type_.� --------- Building
4� ' -_X�--- --------------------------------------------
_`1 7-4g� (j)dy Use Zone
--------- --- ...............
/ Occupancy -----------/----------
af7,� "c
to be occupied only as rkiZ' Spa ........
...... ............. ar
//? 1�4
in accordance with Plan pe tio s� an Pot-plan filed here�it
Estimated Value of Improverne s- ---------- ---------------------
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-
t ' It the workmen's compensation laws of Calif
son in any m5nner s 0'
��'7�e
X Address
Ownpr
/
--Confrec --- ----- 7 '0"
-------Address
BYA -------------- ----- ----------
Form 280-1
kECORD OF INSPECTION
Foundation 1,2... Frame
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Stucco ._------------------'------------__----`-----.--r- Finish
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