43212 (2) 7933 Crahb6i:ty C- - I
CITY OF SAN JOSE Top,��e_ BUILDING DEPARTMENT
APPLICATION FOR BUILDIN IERMIT
Tract Nol;7�'�/2/Lof No. .......
Date__Z� .7..... ...................I ,9,�,1,7` Permit No.-432.12------------
A I* t' hereby d f a permit
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000"'/
7
a -story. Type- z --- -- -- ............... ........................ Building
at 7.y33.... 'A _eA ef,4�?� Use Zone ----2.1------------
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... .. . 0 Occupancy ....,t-.............
. .. . .... ....
to be occupied only M Parking Space .....'f.------......
in accordance with Plans, Specifications and Plot-plan fil,9d herewith.
Estimated Value of Improvements, $ - 15�1.69
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¢.__.........
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It is hereby agreed that the requirements of the Son Jose Building and Zoning Ordinances and all other
laws applicable to the consfrucfion, 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 is issued I shall not employ any per-
son in any man er s to �ici toothy
e t a wo'km
en's compensation laws of California.
Own -- ---- ----- -- J�e.......Address Z"'2 J�
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ByA96 --- .........Adclress� �.. ..... ....................
Form 280-1
RECORD OF INSPECTION
Foundation -/ d —"'� '
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