31081 919 81az, 1ngi400a
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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Date.......:------ ------.-...._.......195.:..... Permit No..-3/.0.6P"/-.................
Application isohereby made for a permit to.... ....2341r.-4---------------------------------------
a----------/'......story, TYp ' ------ ---- -----------------------_............----Building
at............----- - ------ ----- .. ..... ....... ................................................................
to be occupied only as............ - /
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in accordance with Plans a ions t n. 'il ew* h.
Estimated Value of a nes. I--- --- -- .............
It is hereby agreed that the requirements ofthe San Josi Building and Zoning Ordinances and all other
laws applicable to the construction, location,
and use of buildingi within the City of San Jose, will be com-
plied with.
I certify thit in the performance of.the work for which thii 'permit is issued I shall not employ any par-
son in any manner so as to become subject to the workman's compensation laws of. California.
Owner----Whe.qqtley C-Q.n--tr- .- Q-0-..,.-.Ln0..-.Addres's---- -------------
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Address:
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I o A Ito
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Form 280.1 939 BlaZk�TgWood Wheatley Jonst.
RECORD OF INSPECTION
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Foundation........................ ..j F�qrne ---
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Stucco.----- /� .....FinishAgr
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