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CITY OF SAN JOSE s0 . L c= c,r v. c . BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date.......N_6.v- l0...- ............. 19._L a.... Permit No.
........
Application is hereby made for a permit to --. .1L ---------------------------------------------------
a .---/----------story, Type- ¢- - - --'-"-- -- ./..V.V.....""--------------------- Building
at -7.y.�-�. � e//r,o�pe%l....�R;-vF
to be occupied only as ...
F✓ v (X. ._.✓ ������`��
in accordance with Plans. Specifications and Plot-plan filed herewith.
Estimated' Value of Improvements, $.----�-.0...6-0-0
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 H4wrcw 1Ar.•o. imc:...Address ..�-0-6s ...SA- Ni w+X �......
... - .................................
BY �t` L c c C_ Address _s-.,+----J- ---------------- .......-.....
R _` .... . .. ....................
Contractor, gent
Form 280-1 -
GRECORD OF INSPECTION
Foundation ........./T'.. / ' G..�.a�IPFame --- -------------------------------
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StuccO -.--..._.........................._--.....---..-......---..... I ---'-'1-.___...---.
Elect 55203 1-25-61
PLbg 39631 11-28-60
Gas 54620 11-28-60 HGc-osce .,,�