45322 1062 Nodember "
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CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT (o' ?5e " L5
Tract No._,43A31...Lot No..-.... _5-?-..........
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2
Date---............9/23---...-...-....--------. 19--6-4.. Permit No-------....
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Application is hereby made for a permit to ...Pry-.tv...:0-----------......................................
a........1.......story, Type... e-R�z'. s ....................... ................. Building
Use Zone........e.�--...---
to be occupied only as .... :--.._ t✓ �Parking•!;pace........-2/------
.-
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $...../ 4..k... ...............
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 not employ any person in
any manner so as to/violate the workmen's compensation laws of California.
Owner-. :J� fv . --.- SSOCe---Address.1Q65 SD /bl�i�(-{�-: -------------
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By A, ...----....Address- ----S•---�N----•--�--- oSt,.-C...- Llf,
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RECORD OF INSPECTION �//
Foundafio!y ,2—/J,=(t 4 ---..... Frame---Z=.��._ --4�-.ro� //p----------
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Sfuceo._z.- .......-----Finish..._/12�_-..... v
Form 280-1—IOM-12-63