42249 (2) Wo OF SAN JOSE Bubb BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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Tract No.9 .0. ---- Lot No. --f ,L)---------
Date... . ......... -- `111:� Permit -------------i
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Application is hereby made for a permit to --------------
a........1-----story, Type-ZAA,6 45- e '� V- 4-0-------------------------- Building
at _Jzos. -------/L)
---- ------- USpace
ca Zone --
cup an .... .-- ----------
to be occupied only as _e�opldse__A� 6� c
aWrVirg Spac- ......L---------
in
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in accordance-with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, f.., --------------
It is hereby agreed that the requirements of the Son 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 any manneriso as to violate the workmen's compensation laws of California.
Owner Address ---- ---J'
Contractor
Form .1 12,08
ByAgent------ -- ----------....Address
280 - -- -- -------
Bubb IYd. Stoneson—Const. Co.;
�v/ L RECORD
OF INSPECTION
Foundation .... -------4----.----..J.-Vw!r!