38563 (2) C104 SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract Ncs;�2�W�,, Lot No.1Q... ......
QQ Permit No--------------------------
Date.........
A;pplriicafion is hereb e for permit �5------ ............................................
a------ .....story, T pe ..... ---------------------- .. Building
�A W
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at 7 71_2& .1he Zone --- ----
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to be occupied only as ---- Parking Space ......................
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $//.J—e-0.....
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It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and .11 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 if, California.uecl IhA no, employ any per
manna so/as violet the workmen's compensation laws o i.
'00 'n any
x
Owner -A dresV -- ----
can'.'t.
By'� . t Address --------------
Form 280.1
RECORD OF INSPECTION
FouAt#ion .. -- -.. -YrN..L(rZ-Oee -AFra .�-
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Stucco -- ------------- ----- - ----------------- Finish