41817 (2) CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERM /c
Tract No2 Lot No*. lfl�.......
Date Permit No...Y.4/2-----------
ice on�is hereby made,for a ppa it t -------- ...................................
..........
---------story. ym. - ------ ------------------------ Building
a---- T ......
at 4-F11?3le.............. Use Zone _��7-------------
Ofe,0Wfpancy ---------------------
to
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to be occupied only as -- ----------------- ---- fa;krng,Space R?n..............
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $Z50-_ ............
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 in 'perfo an of the work for which this permit is issued I shall not employ any per-
son in any mann as to viola a the workmen's compensation laws of California..
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.. ....... Address .S91P-TE-,CAMP )EV: *C6
Contractor 2633 SO. SASCOM
ByAgent...._.....__..._.... . _..._....._._-----------------------Address .........CAIN4128ELLV'C-ALIPO_jjjjjA------
Form 280-1
RECORD OF INSPECTION
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Stucco ---------------------------------------- --------------------- Finish lXnX4
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