Application 807 Be tl in I
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date....... 9
Permit No..
A
o--A pli-I
�6 tion is hereby made for a permit to........13-azl---o...............................................
............................ .1...... ... .....................................Building
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a .........Story, Type...
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A
at.......... . ... ..............
to be occupied only as------..`-------./.4.:H.----- ............
in.accordance with Plans, Specificafions,and Plof-plan filed.herewith.
Estimated Value of improvements, $---1-4-aq..a-----
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.
Owner ;--Y-13--T-A-
.
..................
--- ..MANQ DEKA!C- Adcress.3/ � - -- ----
By........... ..I........ .... .CAL
Contractor. Agent
Form 2BO-1
,. RECORD OF INSPECTION
Foundation.... �
................................................... ,AFra —30 -5Q fb�
Stucco------...............................................
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