40020 (2) 7CITY
OF SANi4iyFb,
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. Lot No. �'.'57_ .
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Application is he ado for a permit to -------------------------- .. ..... ....... - ---- ----
a........ story, TYP ------- --------- Building
at ..Z ...... -
5�t� U Use Zone ..11._. -�
--------
Occupancy -__ - -------
to be occupied only as ...... Parking Space ....."1.............
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in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of lmproJements, .+.--..---....•
It is hereby agreed that the requirements of the Son Jose Building and Zoning Ordinances and all other
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 shall not employ any per-
t plat the workmen's compensation laws of
son in any man 7� so as
violate
California__ C_ e5
Adclress,/'?�a'-5 1" 7
��e- "e -------------- - ----- -
........................
.. ........I_---------------
----------Address
..............................
sc�
Form 280-1
RECORD OF INSPECTION
Foundation .. ...... . ....��.... . .. ._10-:7 ,6.LFrame ------ .(.qL.'
Stucco -- ------------------- --------------- Finish -...,7.-��-� - ------
1 , ,