NO PERMIT NUMBER y.872 dose Blossom
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 2'0-3
Date----- ---- --------196.0.
Application is hereby ma 4R for alpernnif to.... .... ........................
...
------story, Type--- .-----------------------------------Building.
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-
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to be occupied only as....... .... . ........ - ---------------......
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in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements,
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 com-
plied with.
certify that in the performance of the work for which this permit is issued I shall not employ any per-
son o become subject to thp workmen's compensation laws of California.
son in an4yanne, s,�a 4 -�p
e� Aciclress..2� ---Sa -�o
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By----------
---------------------Ad dress-------------------------------------------- -------------------
Confrador. Agent
F.ma 280-1872 Rose 131OSSOM Loma Verde
RECORD OF INSPECTION
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Fou de}ion. /- - Frame --- --- ----- ---- -_ .��.... -
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