36346 CITY OF SAN' 40
LoBUILDING DEPARTMENT
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// APPLICATION //F__ _gl3BU1 DING PERMIT 34k_4
Date----- ---�- ._..--------------- ---- 19.�Y�... Permit N,.___3(0---34k_ --------
Application is hereby made for a permit to 13/a7 ---------------------------------------------------
a.--- -- . -F
-----�......story, Type_ ... ✓�'-c...��`Q:-r�"----(-- �-�-- ----------------------_ Building
at
to be occupied only as ------.------ ---.<'`f. --- .� /J�/f���
in accordance with Plans, Specifications andp� fielfeF€ iW i 6
Estimated Value of Improvements, $.../-6. .650-G---------------
If is hereby agreed that the requirements of , 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 n manner so as fo violdte the workm�'s�compensa4ion laws of California.
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Own r ���c�rz /� /.Address /..� .).... t� r s'''ue 5 '
By -----------------------------------------------------------------....Address --------...-----------------------------------------------
c...._,,on_, e'93,3 NtEhtherwood Newman & Vierra Const.
RECORD OF INSPECTION
Foundation -- ----- -::,
5 --ft-e /-------- Finish
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