370397750 CArri6go-10-
CITY OF SAN JOSE G"'.S � !'�� 4- BUILDING DEPARTMENT
A(PyPLICATION FOR BUILDING PERMIT
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Date..... 0... ----------------------- i 19- --- Permit No.3220 ,�-------------
Application is hereby made for a permit +o ...../.. LSLG.l2-----------------------------------------------
a--------`-----story, Type.... -------- ��- ms=s- -----------........A......------------- ---------- _.......... Building
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+o be occupied only as .-_�------ - ."
in accordance with Plans, Specific an
yo dj� aflfdY�
Estimated Value of improvements, $---- //j.,Si�S?..................
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 in any manner so as to violate the workman's compensation laws of California.
Owner .d ./iu.!��Ed Y.�SS QC..--1tJ ' .-.-.Address IQ4%5 .....
Bya. /- - -- .............. Address --------------------------------------------------------------
Contrec}d Agen}
Form 280-1
RECORD OF INSPECTION
Founda Lion ---- Fram�e
on /0^'(3 ,
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stucico�� Finish ...2- L)
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