40368 (2) CITY OF SAN BUILDING DEPARTMENT
APPLICATION FOR BUILDING �RMIT
Tract No. ------ .......
Date �w.. -------------------------- P It No.___#_o.-.7-6--Y
�_Q
A//pplica+ion
(3.....7_6---
Application is herebya a permit to' -- ------- --------------.............. -----------------
a-. /......stor , Type------ --- ---------- --------------- B 'Idi
at Z/17 Use zone
f---------- ------ Occupancy --------
to be occupied only s ------ -- Parking Space ----Z........-...
in
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in accordance with Plans, Specifications and Plot-plan file herewith.
Estimated Value of Improvements, $11'.5 0 C)
------- ------O
It is hereby agreed that the requirements of the**San Jos Building and Zoning Ordinances and all other
laws applicable to the construction, 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 an�ym nnan so as t" violafe the workman's compensation laws of California.
all ....................
C.a4ct. Address ---------------------- --- ----------- ........
i i'l ----� C!-------------
ByAq-nt-- 7'
G
Form 280.1
RECORD OF INSPECTION
Foundation Fra'
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Stucc ------------- ------------ --------- --- ----------- Finish