44628 10 2 I' 1k4ffile �""' ,-T—
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No:-�.YY'f' Lot No. 7---I.......
Date. --- 19--d---91� Permit NO. !�.J.;.0172_&------------0-7..............................
Application is hereby-inadoA for a permit f ------------------------------------ 9......
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a..... . ......story, Typ;:F10.1ir Building
Use Zone --------F__ I
at 11 --------------
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Occupancy
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to be occupied only as ...
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in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements,
It is hereby agreed that the requirements 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 San Jose, will be
complied with.
I certify that in the performance of the work for which this permit is issued I shall rot�,pnnploy any per-
sonf violate the workmen's compensation laws f I.f
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e s/ a
' anyV Addr - .......
0,yner 4 S --------
c afra
B;A -----
Addres --------------------
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Form 280-1
RECORD OF INSPECTION
Foundation ..... Frame
Frame
Stucco ------------------- --------------- ------
------- Finish -
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