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BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract Nom :/ /' Lot No
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Date. . ............... 19---------- Permit No.I;ZoU--- .............
Application is hereby made for a permit
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%a----- ....Lstory, Typ . .... .... ... --- - -- Building
Use Zone
Occupancy ...—C..............
to be occupied only as/.. - ......!WAAIAI&P�a'Wing Space ...................
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in accordance with Plans, Specifications and Plof-plan file rewit
Estimated Value of Improvements,
It is hereby agreed that the requirements of the San Jose 41-d-ing....land 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-
sonviolate/heknngr's compensation laws alifornia,
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Form 280-1
RECORD OF INSPECTION
Foundation ..ZU7 3-0-C 02'(-0
....................... Frame,ame
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