40506 (2) WOF SAN JO BUILDING DEPARTMENT
APPLICATION FORBUILDING URMIT
11 Tract Nocr�?..EXI-of No:� .....
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Date- -- ------------- ---------I lq(�--- rmit No.
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Applicatio is hereb ade for a permit *-6 �p
a--------/...story, Ty ------- ---------------:------------------------------Building
at ---- -- Use Zone -----------------------
to be occupied only as Occupancy ................ .....
.... . . ......... arking Space ---- -----------------
in accordance with Plans Spe, s nd
Estimated Value of Improvements, $..//J
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It is hereby agreed that the requirements of the San Jose uildmg 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 she not employ any per
son in any manner as to )�. late the w rumen's compensation laws of California..
rumen's/
Wz --�AAdress/ ..... ........ ... .....
W.............
Owner
ByAg..t .. .... ........ ... . ........ ... ------- Address -- - --- ------- --------------------- ---------- ....
Form 2801
RECORD OF INSPECTION
Foundation ----------- ", Fram
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Stucco -------------- --------- --------------------------------------zinish —-----------------