39793 SAN iospoililhgdr iZd. a-qz-q -
7 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. ..... Lot No. .....4--.--
Date---J"L.194:....?............................. 19 Permit No.39.75�3.................
Application ishpreby 'ads for a permit to __06z4_;J_a..L.......................................
'r" ve BUildi
T ng
a---------/-----story Y, j,:E
Use Zone7—
Occupancy ---f
to be occupied only as 2.n ap??.e.- ..RGS, Parking Space ...2..-...---..----........
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in accordance with Plans, S ocificat*ion�?UadWrPlio�T-pilBin�fii.li
ct
Estimated Value of lmprova�np Ordinances and .11 other
n of
of the So 0 0 an z
It is hereby agreed that the re re nt the So o a B.ildin, a
ce in Z lg* Jose. ill 6.
t an
laws applicable to the construction, face ion, and use of buildings within the City
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.
Owner -10 t
-- y. Dn........Address Z443- ---C_460.7 e-r-
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ByAgimt ---- --
Address 434-5 -----------
Form 280-1 Jar" Jels r,
IV
RECORD OF INSPECTION Q
Foundation ...... . .p ._e1.-.�.3:C-Z Frame .. C i c.-�.c.. -Z .L
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