38563 (2) C114` SAN JOSEBUILDING DEPARTMENT
APP61CATION 25j FOR BUILDIN-0 PERMIT
F �? Lot .......
Tract No �2J? No. ./........
Date. ......... -----------------------I 195_:.... it No.........
0 .........................
Application is herebb ad for a permit'/----------------------------------------- -------- - ---- --
_3Z
a__ ----- Type------ - .......... ------------------------ Building
at ALA Use Zone ......................
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i ace ----------------------
pa cy ----------------- ----
to be occupied only, s ........ . .. ........ / =.
in accordance with Plans, Specifications and Plot-plan file rewith.
Estimated Value of improvements. $. ..../'--..---- .....
It is hereby agreed that the requirements of the San 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 is the performance of the work for which this permit is issued I shall not employ any per.
I . let the work
,men's compensation laws I Califo:ni.
son in any anner so rao "o
Owner
:000x
46/'" _ZAddress/l
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---- ------- -------- ------ -------------
Conact
............Address
Form 280-1
RECORD OF INSPECTION
F• oundaf'aMC .--Y--�1�9.,C._2 Fre '... -.L.- ..2----/ c7-C...� .----
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Stucco ----------------- .------ ---...................-----....---. Finis . ---Ql.r._2C..�..'.�'
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