42420C TY OF SAN JOSEoo
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APPLICATION fFTract No-��Da+e_ -------------------------- ...... 19
BUILDING DEPARTMENT
BUILDING PERMIT
Lot No...C- 7.:------
- / Pe it No. _A/Li40
A plicefion is hereby__qWe for a permit to --------------------- -- - ----- - -------.,...
a.-.. /-sforY, TYPe �� PiO - ... ----------------------------- -- -. �.... Building
at ./.-7o.. /i'..a.�U�....* "r,...YY.."7 /1,T cupancy ......... ._...--
+o be occupied only as ..'n ........`. ... 7� rO �Pa ing Space ... ...._Ti.....
in accordance with P r by ifide4i4 an P o+ -plan fi�herewith.
O /
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 an me r so s to vio to the workmen's compensation laws of California
Addrezs OJ�7 U
=
Address
Form 2801
RECORD OF INSPECTION
. .......... ....
Foundation ...
Stucco----- -- --- ------- --------......----.L......
Fini,h ---