NO PERMIT NUMBER (18)Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date 19 __ Permit No.
Application is hereby made for a permit to
a story, Type __ Building _ Use Zone
at _ Occupancy
to be occupied only as Parking Space
in accordance with Plans, Specifications and Plot -plan filed herewith. Fire Sprinkler.
Emer. Elect.
—
Estimated Value of Improvements, f .
I certify that in the performance of the work for which this permit is issued I shall nor employ any person
in any manner so as to violate the workmen's compensation laws of California.
Owner Address
By Address
RECORD OF INSPECTION
Frame
Finish _
0-601N
N 109-09?
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