44628 1641 Novemb er -7-
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No;am �% Lot No.oe/.........
Dafe_.4/1��/, / 7.................... ---- ------ 1.1-------- - Permit No. ..... ......
Application is hereby made fora permit tz,25�a_
cs�--------------------------------_------------.-_-Building
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a_....../.----story, Typ� ...f--- --- ---- - - Building
at Use Zone ....P-777-1
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- 7,j4 Oo�
to be occupied only as / —__ 40
--------- --------------- Parltirgo'S'prace ........7--------
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvemen ts.
If is hereby agreed that the requirements of.the San Jose Huilding-and Zoning Ordinances and all other
laws applicable to the construction, lo,cation, 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 not employ any per-
son i It the workmen's compensation laws of California.owC/ le'6,5_
............... 10tiriddress ..... .... . .
C n
B�Ar.
...................Address - - -- -----------------------------
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Form
/RECORD OF INSPECTION
Foundation Z:�-7.:..�i.'�..-Cfe(C!/i^ ^!./Frame /9.f/.-�,r..G�.�(G�.cC.ffrf•. ..._. ..
Stucco ------ ------------
-........ .._....... -- ..✓: Finish !-_ .. 3.^6-�-
. .............