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CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOUIPING PERMIT F03
1 AW '36 4--'
Date....... Permit No...32.36 . ...._.
346.................
Applicati Zis hereby made for a permit to.... .Q -----------..................................
4-7
story. Type--
.............Building
a#........---'.......15- -',l
to be occupied onFyajs'7/)d:�k/,/IY.L_...
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, eo,-o
It is hereby agreed that the requirements of V. San,_Jose 1__B_ui`lding and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be com-
plied 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 6agome subject to the workmen's compensation laws of California.
Owner---��Aq �Ota` 'h...&A;4ddress................................................................
-------- -------- .......
...Address................................................................-
By------------_-
Contractor. Agent
Form Loma Verde
"t�3 Rose blossom
RECORD OF INSPECT19N
Foundaflon.................. :6�6 IQ 0
. .. ...........A-------4- j�e--- ................. ..---------------------- --
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