42420 AlyOF SAN JOSEWoon A� BUILDING DEPARTMENT
, I
APPLICATION FOR BUILDING PERMIT
fl,2 I Tract Not3l.-4 Lot No.1�...:P-------------
Date..- ...............................-------I Permit No.i/.1zn.#L6----------_
Application is hereb de for A-perTit toc ----------- -------------
Typ , - --- - --- .. -4.. a,-,-i� Building
a-------/-----story, - --- -- Use Zone A.-I-A.6------
/11
at _/---leze7lr-- ----------0 . ....... ..
----- ---- --- .. .... Occupancy --------T,---------
to be occupied only as -- ---—-- ----------- - - .. (marking Space ...__.y.......
in accordance with Planc'Specificati s and Plot-plan filed herewith.
Estimated Value of Improvements, ... ...... ..............
It is hereby agreed that the requirement, 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 per f h work for which this permit is issued I shell not employ any per
0 California son 'n �07clai: the compensation laws of California
Own Address
C
;at Address ..... .. ....... .................... -----------------
B Aq
Form 280.1
RECORD OF INSPECTION
Foundation --- r�-- y,.¢Kv Frame l�'k 1�
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Stucco .-------------------------- ------------------C.... Finish ..Y.:b'.� }.:.�p
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