32132 7��4 i�e�i�ilat�
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FQI� ,BUILDING PERMIT .
Date---L.1 ..l �. ...................195.��.- ZS��o Permit No.... _`�.'-J
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Ap icafion is hereby made for a permit to..... .. .................................................
a----------- ----story, Type----- - !/`'^�".--J' -. ......_ - Building
�j ... .......... ..B .
CSC ........ ...
. ....--
---
to be occupied only as----------- . .. .-. ..........
in accordance with Plans, Specifica#ions and Plo# an Z. hgr4Iv/#ff loli
Estimated Value of Improvements,
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. '
I certify that in the performance of the work for which this permit is issued I shall not employ any per.
son in any nar so as to/ 6 comeessu_biect io the orkmon's com ensetion lows of Ce'for
Owner --_.Z ..V�iYLC�..�f.4L .Address.. `S� pp a ... ....
-tz
LCCI...
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!/'� ./ 1Gf.L4L41j..... - .Address. . ..._ c^ �K.0 - -...-...
By----------- -----
Contractor, Agent �O
Form 280-1
^7 Q RECORD OF INSPECTION
Foundation.....// 17ss-/, ----4---_.......-- J5,-4e 0 'Q.(�4Y................
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Stucco---------•--------------............---_.---------. . Fi s .................... ....