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CITY OF SAN JOSE �—� BUILDING DEPARTMENT
APPLICATION 7f9Pj DING PERMITL�` Q
Date ---- )Q.7 -+- Q-----..._-------------, 19 -:?-D-- Permit No. ---"- `.'...Y.------
Application is hereby made for a permit to 931WW--------------------------------------------
a ------ - - -----.story,._------------- Building
at ... /k/_---V�---- J-7lFftL.WT - s�ksrJ �4f//tYF VC/
to ac occupied only as -1--)-peci.i tion .-.--_��
in accordance with Plans, Specifications/ an - an
Estimated Value of Improvements, $116 o0 -----------------
If
-------.-_. --.
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.
G
Owner -_ y � /— ""..... Address
i
BY------------------------------------------ Z -------- ------ .Address) . -- .-------------------------------------------.
Form 2ee-1 75CF5*efHq%tR4&r�wood � George Beard
RECORD OF INSPECTION
Foundation ---- yF ��' (/,-Frame
Stucco/j' ---------- F, Finish
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