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t14Y-bt SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING P RMIT
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Tract No. S ').42
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Date....... .. ......_.......1.... //------------- Permit N0.5......;-.
Application,is hereby made for a permit to e_A,,o... ......... ... .. -- - - ---------
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------ Building
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in acco4rdan with Plans, Specificaf ions,and Plof-plan filed herewith.
Estimated Value of Improvements, $---2-ol----5.—q.'0-_ - *
If 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 workman's compensation laws of California.
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Owner - ------ _� �=Jk.h�Rl11Yr--Acldress
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Address-6- 1C.-
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Form 280-1 ' 981-83 MilLer Davis-Graham
RECORD OF INSPECTION
Foundation - -------- ---- )06
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Stucco ------------------------------- ---------------------- Finish h ........... ...... .. ....
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