27768 7341 Rainbow
1.CITY OF SAN JOSE BUILDING DEPARTMEPh
APPLICATION FOR BUILDING PERMIT
Date....---................ ...... Permit No.------ . . ........
II
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Application is hereby made fore permt to.......... -------------------------------------
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to be occupied on ...... ----Arpla
in accordance with Plans, Specifications and Plo an filed herewith.
Estimated Value of Improvements, $----------
it is hereby agreed that the requirement, 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.
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Owne .........Address...a t ..........
BY----'-..... �. �____Adclress-------------------------------- --_-----------------*-iz
.4),affraM, Agent
Fo,m 210-1 7341 Rainbow Rainbow AS90c..
CAR, FOA) /W
RECORD OF INSPECTION
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