44675 C14 F SANVJOS Qr BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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Tr act No' y�y Lo+ No. .. .�G7.:. 2"S'
Date:Y�.;----`- -/---------------------- 19. .... :. .Permi+ No.1�.`�f.. �-/---------
Ap Acation is herebymade for a permit to -------------�.yy{ ,
a---------/---.story, Type . . -....... --- -----------
Building
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atm-a�' Grj,..p�ry� [ _.tet Use Zone ...._f _f_.-.
. .... �.............. ......: ..p . O�ln'g Sp -------,-----------
to be occupied only as/,,,* � .._............. Parking Space --------- ........
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 shell not employ any per-
, sonon er s f� to violets the workman's com pensetion laws of California
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Con ' ... . ...
._.Address.- -. �. - -
Form 280-I
RECORD OF INSPECTION
Foundation
... zinish
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Stucco .............._.-------------..:..- - --....... .