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CITY OF SAN JOSE 37, BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.;��a ?......_Lot No....--------------------
Date.-......--- --.. ...... ------------------------ 19.(z��f Permit No....... ..Zzo.l?.............
Application is hereby mad A for a permit to ........................................................
a...-----/.......story, Type--7:4...-"k oot� ........................... Building
at ---- ------ Use Zone.--"� /.............
5 c cy.......z---------_--
to be oc UP1 only as ......1_59,44... ......_ ...jl Pari g pace'.........Z—---------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of improvements,$..._2}3-0 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 person in
any manner so as to violate the workmen's compensation laws of California.
Own 7_4 ..........................Addre'ssZL.N12.,fild-t4e-i I-Ahl.,-R d,-C-pa-
...............
ByAgent...4zvaj�- / O'�
815 Rose Blossom Tom Soso
RECORD OF INSPECTION
Foundafion,4/n.—.`/-`...
sfucco..�. r
........ .........Finish.....
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FORM 280-1 -10M_2/65