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CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION. FOR BUILDING PERMIT
Date-42-------�---------------------------------- 19-�i;i/----- Permit No..3-7-J3--Y------------------
Application is hereby made for a permit to ------4-ZO-1---T-1-0--Al-------7---A--------
7
a--------I.......story, Type- A'.-,Cj........ &=RA-E----- ------ Building
at 7,r
.. .Y
L ..
to be occupied only as
in accordance with Plans, Spocificati.n,�f4�ol-,�4. H h
is 0
Estimated Value of Improvements, $,-B-0-----------------------------
It
3-4-0----- ----------------
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.
's compensation laws of California.
son in any in -r so as
to violate the workmen
OW
ne.Z---------------------------/i��. .Address 7-r-f----�/- v
ByU ..Address/ --- ------- 1\............\----------
C
je. �
ntracto Agent
44 raLjenleaf 3- 5 Frances C. KrOwn
Form 280-1
RECORD OF INSPECTION
Foundation ------------------------------------------- -------------- Frame ------------------------------------------------------------------
Stucco ---------------------------------------------------------------- Finish ----------------------------------