39312 (2) "7535 Wormandly Wajr , 1*�
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 1,.. —
Tract No. -Z_Z F..: Lot No. / ----- e
Date....;177...................................... lqi�2� , Pe;mt NO., ---1-2---
Application is hereby made for a permit to -----Ife, -------------- -- - - -----------
a...../........story, Type_ Building
......... .R
Use Zone ----- --77/-----------
at -- ------
0ccuRancy -- ---------_------
Parking
.
to be occupied only as ---/---- --------- --- ParrVn ;?pac- ------
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in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $A50,X_)__ ................
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-
son in an, mr so a, to violafe the workmen's compensation law, of California.
Owner
;at,., r
C
B Ag"t ..
Form 280-1
RECORD OF INSPECTION
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I - lFoundation -T /
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Stucco -- -- ----------- ---- - - --- - - ----- - --- ----- -------- -----------------
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