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C�TY OF SAN JOSE November BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. .a. .1--3- Lot No .�-3_....
Date......L.L.�..�.--'-�J - -c(........_._....---. Permit No.�.r7.._r5...- .,.3-----
Application is herebymadefor a permit to ----------
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a----.. ......story, T ..,Y....!..Fitter..es-P _r..... '1--.C7o�-e \Building
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Use Zone.....�_�...........
at ----.G'1..Q.��...... ...... ............'.�---. ... Mll Occupancy Z
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to be occupied only as ...1.... ... . ........ ....�..�.... flerking-Space ........._..-. ...
10,
in accordance with Plans, Specifications and Plot plan filed herewith.
Estimated Value of Improvements, $----------- --- 'S�-- l 3 `
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.
son in any mamanner so as to violate the workman's compensation laws of California.
Owner .4 . q.JDG....(.�.. .�.•S1.D..54 Addy gs -----
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r�.cJ.to,; AaRK
contractor �f /�/��_
By Agent- - - y✓�Hsla=ass .... .................. --- .................
I
Form 280-1
_ tifo7 'e'J°uc.�+ 020An_ 7-
/ RECORD OF INSPECTION
Foundation �O L I'
Stucco -------------- -----------------------, . . .... Finish . .....
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