33150 V a� Qa
CI O SAN JOSE Lo 7'G g 72 2-463 BUILDING DEPARTMENT
APPLICATION /FOR BUILDING PERMIT .
Date._ � jb (...!4 — -z 19.�: 0 .. Permit No. �s.... ---...
Application is hereby made for a permit to ---- ---------------------------------------------------
a--."-!C
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°--.N-!C---story, Type._-----(Z IES-----------------------------------------------------------------.----... Building
at .-..7-a��!_3.-..-- ..�- ----- ---------- ----
to be occupied only as ---�. _L------r.. .✓ sem_ n /lar
/
in accordance with Plans, Specificatio Plof-/pl n' ife/r�h`erewi
Estimated Value of Improvements, $- �(, O o 0
11----------
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 laawwss,of JCalifornia.
Owner tt `..dt-..£�I_L!�'{f..�...Addres{ -� r-----
By � ....-...- --..-.... ---....
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50` n aorflA
Farm zeo-I 7 ? egnj eaf Eugene De La Cruz
RECORD OF INSPECTION
0-
Foundation ------ Frame /-
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Stucco -------------------------------------------------------—'WIFif-4h P7l�74d
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3r2/ 7/
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