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CITY OF SAN JOSE P%,., i.r .yam. B BUILDING DEPARTMENT
. APPLICATION FOR BUILDING PERMIT
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Application is hereby made for a permit -�to
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Permit No...15152 7.-/ ...............
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to be occupied only as .(.._-_ ..'.^ ....8%C/eow
in accordance with Plans, Specifications and Plot -plan filed herewith.
Building
Estimated Value of Improvements, $... -.0 0 o ......................
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, end use of buildings within the City of San Joie, 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 I A r�q:._TNc:...Address �. �-�s---.S'o. f I i w� Y.9...--'---....
Address............. 4,.....................................
Contract r Agent
Form 280.1 -
RECORD OF INSPECTION
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Stucco
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