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IWOF SAN JOSE -IrCD(NC-GODEPARTMENT
AP�YCATION jf
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.,,BUILDING PERMIT
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Date--- ................ ........ I 9.W/�Z.. Permlt No. ... . .. --Z
---------------
Application is hereby made for a permit to .. ui_f.............__......_....._--------- ----------
------ -------------------------- Building
a....../----- story, Type------- .
at ---740�7------
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to be occupied only as -----.J......... �, �/
in
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in accordance with Plans, Specifications and Plot-plan filed herewith.
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Estimated Value of Improvements, $--/)— 0 -- -------------
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It is hereby agreed the+ 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.
JOHNSON HOMES, IN 16155 Greenwood Lane
Owner ---...............-------.......... ........ ..................Address
Address __.-------------Los-Gatos—Califoraia----------------
By -- - -- -------- ----Address ------------------16155-Gteenwood--Urre,.......
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Contra r, Agent Los Gatos, California
Form 280-1
RECORD OF INSPECTION
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