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L0T_io-/-APPLICATION FOR
DEC 2 1 -
Date----- �,-; ---------------------------- 19...
Application is hereby made for a permit
BUILDING PERMIT
Permit No -11.2.532 ....... 77---
a--------•u--e-...story. Type ............. ------- ..................---..........--------....Building
r 11-4-� 1�v
at...... -- tol ...... --------- -------- ----------- .................. n ..................
-- — --------------------
to be occupied only as ......... ..................................................
u.
in accordance with Plans, Specificafloya d_ Plot -plan filed herewith.
Estimated Value of Improvements, 41 Ae
If is hereby agreed that the requirements of the San Jose Building and Zoning Ordinati-cii—sand—an—otger
'a
laws applicable to the construction, locMion, and use of buildings within the City of San Jose, will be com-
plied with.
I certify that in the performance of the work for which this permit is issued I shall not employ any per-
son in any manner so a, to become subject to the workmen's compensation laws of California.
Contracfo?• Agent
Form 280-1
RECORD OF INSPECTION
Foundation—
Stucco ... - - ------ Fin is h
iso 3-