39960 (2) d[W612 SAN JOSIP-?f-W,44� BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.�� Lot No. 7-------------- �3 qq60
'/,cl 7 a
Date- . ..... 19-- ----- ------------------
Application is hereby made for is permit .0� I---------------------- .........I................
a ...story, T ........ Building
at Use Zone --- -----------
- -- ---------- - ------
to be occupied only as 4aPrRn*gpa,X._L------------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $'/--'e3
f h --------�.Xd-:
It is hereby agreed that the requirements o the San Jose Building 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 h� not employ any per-
son n violateworkmen's compensation laws
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0 a - ---- -- -----I_ ___
Address/--- ---
C .,V
...... ....Addre,42 ----------------
Form 280-1
� I RECORD OF INSPECTION
Foun�a3= 74�w�,- L ,d -4C Z AZ.-46
Stucco .-- - - --- - ------------ ------------ -- Finish ......3
o --- -------------------- ---------------