39960 CWbF SAN JOSPO
.,iv BUILDING DEPARTMENT
AP=ICATION FOR BUILDING PERMIT
Tract Lot No.I-/ -------
Date.. ... .. ...... ............ ..19- Permit No. ....
Application is hereby 4cle fora ermit
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a-------./..story,
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a---------/---story, �70ye _t!!��_ . _A110-------------------_------ Building
Use Zone
�1�4 1
------------------ '4 ' - __...4 ..__.....
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to be occupied only .�>c -.'M/XPa"r - u��ce ..........
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in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, 4 .............
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 per-
son 85 violate t workman's compensation laws of California./ ,
7a _ 4 /
&
----Address e_Z .............. -----------------.....
Form 2801
RECORD OF INSPECTION
Found2on, —1 z.Frame ----- ------7----�.l...RA��A..........
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st—UCC7---------- --------------------- -- ------ ----- inish ..... ............3 ...... .................
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