35430 0l§ k6hti468d. tr 2 7 —
CITY OF SAN JOSE 4'.:m K' BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date. 3 S S�3 0
!i- 2,/----------"-'--------� 19---�-�'-- Permit No--------------------'3e.-----------
PP permit to ----- -'- 0-
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A lice+ion is hereby made ora erm� �
a-----I---------story, Type--- ------------ J� -C /-...__........ ....... Building
to be occupied only as I----.r`'.^----
in accordance with Plans, Specificafions and Plo+-plan filed herewith.
Estimated Value of Improvements, $.... 000-- ----------
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.
N . a r< f-A rrc----------
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� _-........Address !Ar 6 5.... c:.._/`( r w--y g----------..
Owner .:... - ---
B Address r J TC+e
Y 1 .. - - - - ...
: .._ - - -
ConfractorG gent
Form 280-1
RECORD OF INSPECTION
Foundation 3- ;;
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Stucco 2J1
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