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CITY OF SAN JOSE p � 4 N K B BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT p
Date.........l!L~ y/....................... 19-� ----- Permit No.------ 9"
Application is hereby made for a permit to ....
a------I-----..._story, Type---- -----'— : ems--- --------------------------------------- ........_"---. -------- Building
/Z_o ri:. .
in ac occupied only la -./--.....ifica.ion4�1a . �g�
in accordance with Plans, Specificatio a Plot- n f er
Estimated Value of Improvements, $...!.0 0_00
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, end 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 - -H°-Nrra Ar.r:-rNrAddress ... 9.. '- ....
Sv + ,Tart
y/l ......................Address -------------............... ' - '.....................
Con ctor, Agent
Form 280-1 - -
RECORD OF INSPECTION
Foundation ---- %-/e- 6; / , 6 /
------------------------------------- ---------- Frame ----- ------- ----------------------------------------------- --
Stucco
."-L(—zAl:...4�/ Finish --- --- - ----
Elec t�'//562 9 4-19-61
PLbg 40206 1-16-61
Gas 55174 1-16-61