40506 (2) IhWOFZAN JOSC Q� r/'! BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. Lot
Date........... ......)..2.......)../-------------� I �'-.�/ P i+ No.-1...U_�....6._�--------
Application is hereby e a permit t . .............. .......................
a....---/�----story, Ty, .---- _. ... .w. ----- .------------------------- Building
itdi
a+ / ---- cP use Zone ----�"I-'�'.
a /I/� � Occupancy ----- ..............
to be occupied only as .-... ... ... ... ..... It I V 6;X rking Space ......I----.........
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $./.ZJ d .
It 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 Sen Jose, will be
complied with.
1 certify that in the performance of the work for which this permit is issued I hall not employ any per-
son in a/n/he/rmer i es //�,(olate the,,a rkmen'smppejnsetion laws of Califor
Ow er 1 ---'.� -G( '�`�'�'L�_ Address/� ---�..-
q�.. .. ._..• Mj - - .... --------------
Lontrector
By�a. Addre3s - - -'
Form 180-1 / ,
p .
RECORD OF INSPECTION
Foundation ----._1.--.9.-.6..3...d- Fr7W65...k..
. J/]-----------------
'40
stucco . ..........
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