37463 LL4rJ LIWA_& L&&
CITY OF SAN JOSE ,a
BUILDING DEPARTMENT
/ APPLICATIONF��t� BUILDING PERMIT
Date./... ---------------`-.._ 19._�_./ Permit No .L..f..-6'3-----------------
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Application is hereby ado or a permit tom.. ------------------------------------------ --
a. ....../----story, TYPE- - - - -- -- --------------------------------- Building
at /--�-7..- ------ ��-'y - A------- - -
to be occupied only as .. ...... .. 1� /V��
in accordance with Plans, Specifications n lot-panciled�herewi
�—
Estimated Value of Improvements, $els -..�.._.._-----
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 an ena r to to violet iha workman's compensation laws of Calif.
. . - ...... ••---------- -------------- --------
- � r
- -
Contraei , Agan}
Form 280.1
RECORD OF INSPECTION
Foundafio�-n ------- -------- --------------- Frame_--
Stucco -- ------- Z-
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