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CITY OF SAJOSE sr/., C- BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date------N1U. -----------------r 19.-�!-p--- Permit No.----------- G. Z—
Application is hereby mad Pr a permit to ------ ;` .......................................... .. .
a_---- ----------story, TYpe...� -- - ----- - ---- ---- - -------------------.-. Building
at 7.Y.-9-.7...._%C -^�:��
to be occupied only as 1
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $---Z_60_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.J :..1.��!_�-re i A i.o:.`Nc..Address --4(o.S..s ......( (w+.x.g......
i G Address `�d�---J....4 !.`------------ -------....
Contractor,/Agent
Form 280.1 -
RECORD OF INSPECTION
FoundatioX
/l. yCP�� --------- Frame ---- !Stucco -- -------------------
---
---- y pinish ...
Elect 55203 1-25-61
Plbg 39631 11-28-60
Gas 54620 11-28-60, 3'z-F-&rte
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