340936670 Ciiff6ra Ct.
CITY OF SAN JOSE
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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Date------ ..'...1C ------------------------- 19.X/ - e. Permit No....�-Y-P-9.3
Application is hereby made for a permit to -------, ---------------------------------------------
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a ----..../-----.story, Type......l f..p.S-------'- A--�..._�t,-T-��.a: ._ Building
to be occupied only as -------- f--.-- ....
in accordance .with Plans, Specifications�d t-pla fyd, re i}}!
Estimated Value of Improvements. $-../���f `!lam//
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 Joie, 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 workmen's compensation laws of California.
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RECORD OF INSPECTION
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