33497 9Z81TY &VAN JOSE Lor BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 5o8
— IL r'A (.1
Date--4____;z-----_---------------------------., I 91�p.. Permit No.-----3...3_41
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Application is hereby made for a permit to ---&,P-----------------------------------------------------
........(.........story, Type-1-0------------le ..............W. ±r__A----- Building
Iat ............. -------------
to be occupied only as -----
in accordance with Plans, Specifications and Plotkoe-lbed 101,�1 /1/'
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
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 n r a to Violate the workman's compensation laws of California.
Ow
�n..e... ak& Po..
ner R�15 ----------- ...... —. .Address t4
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By ...7 -- ---- ..........Address
Form 280-1 C�2bractor, Agent Sage Palo Alto Dev.
RECORD OF INSPECTION
Foundation 6 �/�
- - ----------------- Frame _7_ZS- -�(/: ZDV/✓—,v
Stucco ---------------------------------------------------...'`Finish / /k,l
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