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CIYY OF SAN JOSE �LDING DEPARTMENT
PP 1�rATIONUILDIC;/- PERMIT
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---------------------------------- 19 L... Permit No. ---- -$---T— Z..
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Application is hereby made for a, permit to
a----,/ ------ '---- story,
at L7....Z1-------
...C.0 -_Y '.'.o.N../.LSr•..._..cG� A� /�y
to be occupied only as --- /... `f y%-'..... �• �.W6
in accordance with Plans, Specifications and Plot -plan filed herewith.
Building
Estimated Value of Improvements, $. �L+.Q.O...---- .....-_..
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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
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son in any manner so as to violate the workmen's compensation laws of California. -, ,.
owner JOHNSON HXAgenf
Address .... ---------...Lane .
16155 Greenwood
- -----------------LosGatos, California
By .�!%�.���Cfo----7.�•---- ----- -- -------Address ---- 6i55-Greer�tood ta71E-----------
Contract Los Gatos, California
Form 260-I
RECORD OF INSPECTION
2,7-6
Founds —12-� e " '2
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