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NO PERMIT NUMBER (3) RECORD OF INSPECTION Foundation:... - ...- ..............Frame -....................................... _.... Stucco........................ -------------.... ............Finishes..............�-........... ...--..........--.............. A1,27- ro ,cAV ry-/N os *k ADOF Ng/L N6 /or rn � G�ue 1,A CER r, oa qua GS v Foam 280-1 -10 M-2/65 CITY OF SAN JOSE BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT TractNo-----------------------Lot No........---.......... Date....................................................... 19-----...... Permit No.. ........... - - Application is hereby made for a permit to ................. a---.............story, Type................................................................................................... - Building at -...........................--------- ------- Use Zone...-----..........------ to be occupied only as -------------------------------------- __- -- -------- --- _ - ---- -- Occupancy.................._.... - Parking Space........................ in accordance with Plans, Specifications and Plot-plan filed herewith. Estimated Value of Improvements, $......................................... If 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 the+ in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to violate the workman's compensation laws of California. Owner--.....-----•--•.................------.........._..... .... ..Address--.......................... Contractor ByAgent ................-------------------------------------------Address........................... - ..... - .........