40020 (2) 1449 OF SAN�W '1OOVt4- BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. OiFr-'?-----?--45Lf No. Z----- ----------
Date. ..................... ........I I 94,�. 7- Permit No.--il---------------
Application is hereby made for a permit W�
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a--------/i---sfor Typ 4 --------- ---
Y. �.44 X9- .......... .... ------ Building
C e Use Zone I I
at ......X --- ----
------- ----- ........ Occupancy .....=..............
to be occupied only as Ile,?0-111
...... ------------ ........... Parking Space ------1—---------
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements, $.- 15-00.
'th e--Sain---Jose-4 d Zoning Ordinances and all other
If is hereby agreed that the requirements f uilding an
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 i shall not employ any per
son in any anno so a§ tpviolate the workmen's compensation laws of California
7 1 )
Address/4
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ByAgont 7
Form 280-1
RECORD OF INSPECTION
Foundation 1 �lc I
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Stucco -------------------------------------------- ---------- Finish