424207980 Wood
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION -0 AUILDIINNG PERMIT
Tracf Nom- -' Lot No ......... .........
2 19.----'3� /PerrnifNo.....-..�%z-..�.....-:----
PPlicafion is hereby ad for a p +�q .-.--/---
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a. ---/-----story, Type---'� . .....�.�j......:L..r%/%..----- Building
/ n��1Use Zone ...... .._._--
141
to be occupied only as . .'... -------- ------ Parking Space ..........
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements, $..// -. . �.j�- - -•
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.. -ill be
complied with.
I certify that in the performance of the work for which this permit is issued I shall not employ any per
zon in any men er so to viola the workmen's compensation laws of California.
py(nef� _- G�._ !`[.- .''-..- `..�J...Address�o' I,......
Can,
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/C C. ...... Address _ ..:.... .......... '
ByAm---- -
Form 280.1 -
RECORD OF INSPECTION .
Foundation /A2—J '(U-- Frame 97_
e.1
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Finish