32066 " u 1:r
CITY60 OF SAN JOSE B LDING'DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date....... Per if No eoP OG,
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is' hereby made for a permit f4 .......................................
Applic tion ----/a/c- - ---------
a _'fory, Type---- ---------------------- ------------------ea-V-1........-----_-------Building
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at-------------------- _ -W...-- _----- .............. 4----------------------o...... ...--------
40.4t��
to be occupied only as.----.-.....IC7 Fx�7, C/L Y d77
-
78�3 C/Ly
accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements. $_/Z� ------
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 com,
plied with.
, 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 tobo/com s ;f�fo _workmon's corn
- sation laws of California.
. ...... ... -------
Owner...
mdo—--------------------------------
,a-A-L----------Address..........
Contractor, Agent
Form 280.1
RECORD OF INSPECTION
Foundation. -.. F,. -1c 0 A
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stucco-------------------------------------------------------------az...
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