27402 7550 Rainbow Springarden
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date---°Z-,4r�........................195--- Permit No.......a
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Application is hereby made for a permit f
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a---6-j.,P......story, TYPa ------ ------------------- ....----- .............................Building
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to be occupied only as--------- - ------------------------- -----
in accordance with Plans, Specifications and Plot-p6f6r�efa I . //t/6'j�--------------------
Estimated Value of Improvements,
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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 construction, location, and use of buildings within the City of San Jose, will be complied with.
Owner .:...1.:.-.... ............... .... ......................Address--;;j...... ......... ............
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By_ 41. ..... ------------------Address.:..... ........... ........._-------
C/ Contrac
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Contrac r, Agent
lForm MI 7550 Rainbow, Lindsay
oo RECORD OF INSPECTION p}
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