43212 1965 1466dibi+
CITY OF SAN JOSE/_�y `�A�r BUILDING DEPARTMENT
APPLICATION FOR BUILDIN' PERMIT
Tract Lot No.
Dafe/07 ---- Permit No.443 L -.........
--------------------- -------1 19 ta
Application is hereby p3ade for a per
o1 - ---------------------- .......I-- -- - -----
a------.I---.story, ----
- - ------- --- -- ------- ..... ........ Building
---- - ---- .... Bu
at --- J............ ...................... ---- --- Use Zone ....P-..(------------
Occupancy -_1..-.---.---
to
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to a occupied only as/—-- - ----------------------- Parking Space ----.Z-_.------..-
in
----2-- -----------
in accordance with Plans, Specificaf ons and Plot-plan filed herewith.
Estimated Value of Improvements "y----a
----------- ---11............
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 in any manner o as t violate the workmen's compensation laws of California.
_/'A��C a
Own - ---- -------------- --- - ----------- ----------- ....Addr ss L..-.........
ByCont.cto ............ -Address --------------------------------
A6 --- ----
For. 280-1
RECORD OF INSPECTION
..3..-. ...Foundation Y,&�eauo,-
-------- ........, ...... Frame ---- 211
Stucco .—T:.2d----- -b_V ... -
----- .
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