35074 i64A 6A6hv' H"IM9 i,S y
CITY OF SAN JOSE Z)or 851 BUILDING DEPARTMENT
APPLICATION. BUILDING PERMIT
Date....I=...&......-------------------------- lg-&../--- Permit No..3,no-zia`----------
Application is hereby made for a permit to -Zl�--------------------------------------------------------
a...........t-----sf ory, )Type----- -777 --------------- Building
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to be occupied only as ------- ------
in accordance with Plans, Specifications and Plot ileherejfh..
Estimated Value of improvements,
It is hereby agreed that the requirements of 4 San Jose Building and Zoning 0,�inanes 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 ,'.olate the workm compensation laws of California
4�-*- res ---- - ---
Owne Z-, --'Ay........
/0117 �111--- al
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By .....................................Address J................ ------------ t...
Co tractor, Agent
1 Form 280-1 104 CoLony HiLls Eugnrie De L Cruz
RECORD OF INSPECTION
Foundation ------/.— e:O - FFrame
Stucco -1-:-- -------------------------------------------- . J - - - -- -----
. .. Finish `-
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