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CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION A BUILDING PERMIT
Date----------------------0 e�—Z�---------, 19__6J_. Permit No.17,1_6.1-------------------
Application is hereby ade for a permit to ...CONSTRIlCT................_ __
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a......N------story, Type.-0495 �------------------ - -- ------------ Building
r LOT UTUMN GARDEN #2
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SINGLE FAMILY RESIDAGEW ll!:AC�28t3
to be occupied only as --------------------------f.---yy. - �C
in accordance with Plans, Specification//s and Plot plan filed herewith.
Estimated Value of Improvements, $1.�..U U U /0(f)Al 1.2/
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 manner so as to violate the workmen's compensation laws of California.
Owner - -------7_1.1INMY_4NC;------------....Address --_-1.300---EI_.Camif?o--Real-----Menlo Park, California-.----BY ---- �=- --- - �� - Address
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Contractor gena B. �• �Ur9eon DAvenport 1-7070
Form 280-1 Prnipr♦ Mnn-rioi '- - -
RECORD OF INSPECTION _ A
Foundation_ - Amt --(6 -Zl.G./Frome _..----- __ .. ----------------------------
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Stucco ----- t:-5..�.�T-_�-Z /..�/----- Finis 2- G 2-
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