4321210 55, Oi A
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FO)t BUILDING PERMIT
Tract Nr.:37XX,Y I .,,Lot Nicer- -------
Date - - -- - - ----------------------------------- I ..... . ...........................................................
p it No. .432/Z ------------
Application is hereby m a r a Permit I ----------- -------------------------------------------- --------------
a----- / -- ---- story, Ty -- --- -- -1 - ------- --- ----- ........ -------------------------------- . Building
at --- ------ ----- -- -- Use Zone 7_1........_...
z-------------
to be occupied only as/ — ---- -- --- - ---- --fixIF....3.. .............
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in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements, $&J�ep
It is hereby agreed that the requirements of the San Jose!Build ing and Zoning Ordinances and all other
laws applicable to the construction, loicafion, and use of buildings within the City of San Jose, will be
complied with.
I certify that forr�,roo.of the work for which this permit is issued
�/Jpn the piprfo violet ) not employ any per-
son in an anner s a/tp the workmen's compensation laws f Californi
wn _&__/__1e(,.Ac1dress
9 Addr9ps ------- -----
------- . ...... - -- ---
C�n act,
BYAt - ------ ............ ---------- -
Form 280-1
RECORD OF INSPECTION
FoundationFrame
..........
Stucco ------------
------- Finish
fly.........
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