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CITY OF SAN JOSESGT ,y T2 2�3 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT �''o °Frrns
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Date--- ---------------------------------- 191_P... Permi# No._`.... ?�j.3. z--------
4 Application is hereby made for a permit to ----- U�- ----------------------- -
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a...0.6)�----.story, Type--- -----------`---------------------- Building
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to be occupied only as ....Q.1� .....��td ...
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in accordance with Plans, Specificati �d' Ple h re
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Estimated Value of Improvements, $....Z15;------------------_------
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.
Owner .�!S?N.�/CL..V--i-0!!_&2E9C Address .S1`I''-� 1--'�!�......_.Sv.
By Address . - - - -
.m oan 7546on�MtfrtAtteWood t /C7_/'_ t Manuel Villarreal
RECORD OF INSPECTION
Foundation ....... &�-,f—�.—'Fra me 6
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Stucco
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Stucco
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