432127W OF
O /r�1�
CITY OF SAN JOSE
.BUILDING DEPARTMENT
APPLICATION ``F/�OR BUILDING PERMIT
TractNo- T.. Lot No.._.__....
Dafe./ ��. ............................. 19_-4x.3
Application is herebyVe r a permit o
a.. ......story, Type------ ..
at
to be occupied only
Permit No.`L'".3-412._---------
........... C......._......
..--'--.........---._. Building
,�/ U3e Zone -el------------
// 3 cupancy .....-..-----------
Parking Space .....'�-------------
in accordance with Plans, Specifications and_Plof-plan filed herewith.
Estimated Value of Improvements, / ..��.. +...............
It 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 in any manner so s to vi late the w/rkmen's compensation laws of Cel'Iforn' � -
f%/ J%ll�d'�.. Addresz��. °�S /. �.)C. ( L.... -
Ow a ....._...-----
Contra (/ Address �
Bynv It n `i ...-- .... - - -.......----- _ -- ... ------
-C
..
Form 280-I
RECORD OF INSPECTION
Foundation . .... Frame --- J—,l
.....
Stucco .._....--.........--........._.....---------...---._V --
�Finish
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