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OF SAN JOSE . Lot 1117 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date.. MaY...6..s -, 19 -6o Permit No. ----- . ... 3_1 ....
Application t/heFeby made for a permit to - --
a5.11391e --- story( Type ... 19. ie .-- enoe--=---------- -_-°-- 1---......... ........................-- ---.. Building
to be occupied only as s.�nWle--- l:.ami.lY..dwellin��'
in accordant ith Plans, Specifications and Plot -plan filed herewith.
Eslimaherdeby agreed nlproveq ite�m' $ 0,o. --- ------
h S wilding and Zoning Ordinances and all other
laws applicable }o }he'. constru do l-.1,; n u o buil within the City of San Jose, will be
complied with.
I certify that in. the performance of the work for wli ch }h permit is issued I shall not employ any per-
son in any manner so as to violate the workmen's compensation laws of California.
Owner CO, trU bion Coe:.Address -- ..4112- -_El Camino Way
Address
By
Palo _A1t9. _... --
C tractor, Age
Form 280 -I
RECORD OF INSPECTION
Foundation --- Frame
Stu 6 k 0 ------------------------
----------------------------------- Finish
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7
2
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