42328 (2)MOOF, SAN JO!Pp"lling Rd. I BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No - -------------------- Lot No. --------------------
Date--- ........ Zf... 19 .- 4 Permit No.. --- Y.....'--1
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...
Application is hereby made for a permit to 141k..'......._.....-....._ .............. -----------
- K ' W -r17
a ... o� ----- story, Type... ------- ?��
. ....... ... ._e!! ............... Building
U e 2z��Iemn/ .....
at -----------
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to be occupied only as Par . king Space --- Z ................
in accordance with Plans, Specifications and Plot -plan filed herewith.
00
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 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 the workmen's compensation laws of California. 1P Lf,
Owner ----- I ....... 4 ���eneP K- ddr ss ---
Contractor ..
ByAgent------------------------------------------------------------ Iddr:ss ................. ------ ------ ----- ---- ------- --- --
Form 280.1 1258 Stelling Rd. . Melvin Sheoherd
RECORD OF INSPECTION
Foundation----- -------------------- --------------------- ------- Frame ----------- ------- ------- --------------------
Stucco ------: ------------.---- ----------- 'Finish ... 1 /40 -- — ----- 13711�34 , W,
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