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CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING. PERMIT
Tract Lot No. /�-1---.----
Date-/ -- 7. - . - ---------.............I 19�..� Permit No.4.5.2.1-2-.....---
Application is herebb de for a permit td ..........................................................
a.------ p-story, Type ` ✓- -...-.-....--.--.......----__-.._...............-...--....---.- Building
O-T 2 OUh.� Use Z -�
at 1� . . ....
to be occupied only as ---. ...- . ---`- --------------- i g Space --- ............
in accordance with Plans. S ecific ion a P 11 0 herewith.
O
0
Estimated Value of Impro ements- $ -- -------- -- -------!.............
It is hereby agreed that the equiremen o the Se ose Building and Zoning Ordinances and all other
laws applicable to the construct n, loc on, and us f buildings within the City of Sen Jose, will be
complied with.
I certify that in the performance of the work for ch this permit is issued I shall not employ any per-
son in any manner so'.as to violate
etthe workmen's co pensation laws of California.
Contractor -----
ByAq. �_C ........ .....Addresses -- -..--...
Form 280-1
RECORD OF INSPECTION
Foundation —Z.�1'Co� -�
------- - ./�fFt. ....:..Frame
Stucco -------------------------- ----
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