27621 7505 Rainb Springarden
CITY OF SAN JOSE W'-7 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date. je19 Permit No.. .;7,7. -....j'.--.....
Application is hereby made for a permit to------------- --------------------------------------
a.A.-_-?.,&......story, T
. ..... ....................Building
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tobe. occupied only as---- ------------------------------ --------------- -------------------------
in accordance with Plans, Specifications and Plot-plan a iflK
Estimated Value of Improvements, $-)",v/-- - D-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 ionstruction, location, and use of buildings within the City of San Jose, will be complied with.
. .......... ...........
Owner -------------Addresscl-Z.
By... . .. .......... ......Address............................... . ................---........
Contractor, Aq"t
Form MI 7505 Rainbow /0 Lindsay
RECORD OF INSPECTION
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