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CITY OF SAN JOSE -7r- BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract NO-Z Lot
Date zi�,&............................... Permit-No..... -------
Application is heere a permit fob---------------------....---------...---..--�b a r .............
a------f--- -story, Ype --------------------------------------------- Building
Use Zone
at .7, Occupancy ..........1...
........
f o be occupied only a 77,�l Pe�Wdng Space
1 rys' Q�p6n f erewi 4pnD
in accordance with Pla,140ecif
Estimated Value of Improvements, $//,570---11--- -----
it is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
will be
laws i, ble to the construction, 'location,
and use of buildings within the City of Son Jose,
COMPIUPIw�fh.
I certify that in the performance of the work for which this permit is issued I shall net employ any per.
f ,fn'
son in ."Y'119nn" sores 0 the workmen's compensa ion lows of Cal�if!:
OT�n� ........ --------------------- Addresv ........I....... --- -- ---- -
corstrac L7 Address
//
A Kl*---------------- -- ---- --- -------
---- -------------
Form 2BO.1
RECORD OF INSPECTION
Foundation
---- Frame
-----------
Stucco -- --------------
----------------- ------ ------- ---------v Finish .y`- ---------------------