40893 (6) Sara6g`a,,<rtnyv"ale Rd
SAN JOSE 13UILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. ------------------- Lot No. --------------------
Date... ...... . I g_!Q Permit No......
-- --------------- ... --------
Application is hereby made for a permit to .......elz...................................................
a---- ------Y_sfory, Type--=7...17e........... ............................................ ................. Building
at ---- ........ (' a- - t- t CIA/9. Use Zone ---------C—L
4a Occupancy ------/7---------
to
---- --------
" /1 '74,�471 �1_
to be occupied only as ...... Parking Space _4
in accordance with Plans, !Specifications and Ian Il
-MA
Estimated Value of Improvements, tx 49
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 the performance of the work for which this permit is issued I shall not employ any per-
son in any manner so as to violate e workmen's compensation laws of California.
Owner -------------------Address
contractor
ByAg.nto /0...... ...... -------- -----------Address . ......
Form 280-11.301 Saratoga—Sunnyvale Rd. AF JQfichini
RECORD OF INSPECTION
Foundation -----
------------- -------------I�Fra -------- -—-- ----------
Stucco ------------------ ... - -------------- Finish 2-2- 844-6
7 -- --------------------------------------
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