40898 (2) CTY OF SAN JOSEIZP#��
CI111 Tane BUILDING DEPARTMENT
APPLICATION FOR BUILDING
IERMIT
Tract No.c�0'47. Lot No. ...
Date.....--- . ......................... 19.6..7� Permit No_ .P�. ..
_t�_Pf_ ....... .
Application Is ha!r!ebb�!ynadd for a permit tb ....................................................
a-----/------story, Type.. .. .............. . ------------ Building
7"? - 04W
Use Zone -------if..I.......
at .... ..........
............... Occupancy ...........I.........
to be occupied only as .......- - - ------- ...................
in accordance with Plans, Specifications and filed herewith.
Estimated Value of Improvements,
It is hereby agreed that the requirements of the Son Jose uild ing 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 mann rso 000 violate the workmen's compensation laws of Celiforni
cOwe 61-.
�'x. ...�. ..:���<d
. dress
BYv. --------------------Address/..._.n'. .... ......_.............
Form 280-1
RECORD OF INSPECTION
Foundafion --------- —63A"4 Fra
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Stucco --------------------------------------------------------- Finish 4?