42815 (2) OF SAN 1012004 1W BUILDING DEPARTMENT
APPLICATION FOR BUILDINP PERMIT
Tract No. Lot No. C,
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19 No._!Y21_/!: ------------------
Application is her y ado for a permit t . .........__.. ..k.........j��_ I
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W_46.1 - ------ --- Building
a-------/. ....story, Typo_—.r__Y ��Re9
IZ2 7,-1-41 Use Zone 16
at .... .—A-f' Occupancy ........-------------
;�;JVAP*arking[Space' Z_
to be occupied only as ./—---------- ;A� %.�� ------------------
in accordance with Plans, Specifications and Plot-plan filed herewith.
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 6;
complied with.
I certify that in the performance of the work for which this permit is issued I shall not employ any per-
.meson in any n'ej1 so to Ole t theorkmen's compensation laws of California
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Contractor Owner ..�... .....Y5 Address
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Address
Form 280.1
RECORD OF INSPECTION
Foundation 1 / .ell�CL... Frame
stucco ---------------------------
�- . 69/ 70
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