42420 7984 Woodla� ir
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FQk BUILDING,,PERMIT
Tract No:-- Lot No..7.. ;_r... ...
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Date.. ../................................. 19`x.... Permit No. ------------
Application is hereby made for la mit ------ - ----- ---- --
a......../
-.story, Typa '��A- 121.'/---�5 /0- /�-�i 11 d>in g
a
se zona 6
at
Occupancy ....... ---------
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to be occupiedo.ly Parking Space ------
in accordance with Plans, Specific/ions end Plof-planfiled herewith.
Estimated Value of Improvements, $Z�e9e
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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 Son Jose, will be
complied with.
I certify that in the performance of the work for which this permit i issued I she .-not employ any per.
est violets t
son in any mann so workmen' compensation laws Californ a.
-lea
mann
2ddress -- ------- .......... . .......
Address .. .... ....
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7-
7
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Contracts�w VAAddress ... ....A. -.--------------
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Form 280-1
RECORD OF INSPECTION
FoundationL �?
--------- ------------------- ------- Frame ---.7-G
Stucco .------- ------- -------------------A Finish