36881 778WVWAJOSE ` "' �� PL19^1 L BUILDING DEPARTMENT
,APPLICATION FOR BUILDING PERMIT
Dafe---- -/ �-----_------- 19------CD '.. Permit No.13-C ...e�
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Application is hereby made for a permit to ----8L,�j-----------------------------------_ ---------
a.........1..----story. Type---- ....R—C -5;----------------^- ------------------------_- Building
'773.
at ----- � NF- - 3 ?A-1o
to be occupied only as 1�......� !tLL.L�-_2:.
in accordance with Plans, Specifi yops-and Blet-pla4slluerewith.
Estimated Value of Improvements,/$_�/�_5/,��- ---------
It
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It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be
complied with.
I certify that in the performance of the work for which this permit is issued I shall not employ any per-
son in any manner so as to violate the workmen's compensation laws of California.
Owner.P:v../✓Jw�cb'.-Y..!�S,SD��.-,�-.A.l.�....Address l��aJ._.�s..../�<�.�srs�-.`j.�...�s->..SJ$
ByC�/ °�✓...^ - - �------------Address sK -------------------------------------
Contraci Agent
Form 280-1
RECORD OF INSPECTION
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stucco Finish ---
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