42420 (2) WOF SAN J!04990"06 '' BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract Nam`f y/ ... Lot No. �.............
Date..Ol'<......................................... 19.6. � Permit No...4.Z7-- a.-------
Application is hereby Taide�for a permit .............. _........_------.._..._.._..
a------./..story, Tpype. O/✓ - - - ------------ . Building
at'...J--- .. Q..... t-------------`---- A� Use Zone A-I.-a-C-----
�
l�ri/ ancy ....-- -----------
to be occupied only as/.. .... ............... Parkof g Space -------2r........
in accordance with Plans, Specifications and Plof-plan filedherewith.
Estimated. Value of Improvements, f//5� � i
It is hereby agreed that the requirements of the Sen 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 he perfcrmance of the work for which this permit is issued I shall not employ any per-
son in anyQ� nes so e olaf workmen's compensation laws of California.
O er/.�. .�.
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Confreor
By gent CL �.V------------- Address ............... . ....... .. - ... -
Form 280-1 (/
RECORD OF INSPECTION
Foundation ... Frame �N3 "`.------
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/
Stucco .............................................................
Finish