40898 A410F SAN JOS �- A)WA44ilI Lane BUILDING DEPARTMENT
APPLICATIO7 FOR BUILDMIG—PERMIT
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Tract No. !�� 77 ---------
Date............................................ .......... 19 r Pprmit No.....elp_?? 'goo-----------------
Application is here6y-imad f a permit
or ....................---------------------- ---------------
a--------- story, Typ .. ..... ----------- .......... ----- Building
a__-e Use Zone
atI--------------------------------------------- ---- ---
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to be occupied only as dc,=�e - -----2.r.--_-.-.-.--.in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements, 11-r---- --------- --- ------
It is hereby agreed that the requirement, 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 Son Jose, will be
complied with.
I certify that in the performance of the work for which this permit is issued I s all not employ any per-
son in aners 0 io afe, the workmen's
Owner -"'fyveecldress
Y4 ...... . ------- - - --- --- ---------- --------------
far
contrac ' Address ----- -------
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ByAgent- .............
Form 280 631 Shadow hill Lane R. J. (;'U�Inter & Assoc.
RECORD OF INSPECTION
Foundation --- -44 2,�I-
Stucco -------- Frame ....... --------------------------------------------------------
----------------------- ------- ----------------�-'Firikh ...