42815 (2) tWPOF SAN AW BUILDING. DEPARTMENT
APPLICATION FOR BUILDING PERMIT'
Tract No:S-'/L/ C/ Lot No- -------------------
l9i�-----3 .
Dafezr/ ---- ----------- ------- ....... --- - -- �,Permit No. �_------------
Application is hereby made for a permit to --------- ........................................ ---------------
a......../.....story, Ty5e . ..... . ...... --- ---------------------- ------------------------------- Building
Use Zone
----- )ccupancy -------r----------
--------�7-�Ie Parking Space ----------------------
to be occupied only as -/ ;��VW r0a-r9kel�
in accordance with Plans, Specifications and Plot-plan herewith.
Estimated Value of Improvements, ......
It is hereby agreed the the requirements of the San Jose uildirg and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of Son 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 any manner zo to violas,
the workmen's compensation laws of California.
7L -0
. ........ . ...
Address ----
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Address -------
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Form 280.1
RECORD OF INSPECTION
Foundation 1L/ - 3. �(vty�1.. Frame .I:/ �frC� /C/�' C�A/+�a1—_------
Stucco -------------------
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