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BUILDING DEPARTMENT
97) APPLICATION FOR BUILDING PERMIT
Dat,-------- -.---------------------- 9*_-4-�?_ Permit No......✓5.z-1�7.2—__7
............... ........
Application is hereby made for a permit to ----- ----------------a.------1.......story, Type ------------------------------------------------------------------------------------- Building
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1e,4V &IVW�r,
at ........ i�mnll /....... 7il
to be occupied only as .........
in accordance with Plans, Specificafions and /426Tan
Estimated Value of Improvements, $....7; S4-- ...........
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 at 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 workman's compensation laws of California.
/ go/ S;�-
Owner ...... ..Address ----------------------------------------------------------------
......... ...... .......
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By ------------------------------------------------ -------------------��Acl�lress
..
Form 2B,-, L30foj�Alphtldgh—Sunnyvale Elianchini
GRECORD OF �NSSECTION
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Foundation ��� (l., o!>—G ?`�Freme -.... �2-% %�jlp�.u.�
Stucco �Z Finish3...... �_ eg B
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