38046 OF SAN JOSiS tYl- &-Dr-/4
BUILDING DEPARTMENT
APPLICATION FOR BYPD ING PERMIT
Date- -----------------------1 19.-�--
-------- Permit No.....5-2A't--- ...... ----------
Application is hereby de for a rmit to --------
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p
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a------Z------story, W01 �'140
............ ---- Building
to be occupied only as
in accordance with Plans, Specifications an Plot pp Xan filed herewith.
0 0 --�
Estimated Value of Improvements, $//. .--5—..........[---------
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 manner so as to violate the workmen's compensation laws f C lif
0`7
Owner S' -Address'106 --------/to.,--- --------------
---------------------- ---
BY
Address ---�57-------------------------------------------------
.................... ------------
B .......... .........
Agent
Form 280-1
RECORD OF INSPEclnON -
Foundai i9 Gf. -f!rL�.�s�..�.'f 7.L .Frame.......--)
Stucco � V --------------- Finish -----------�--�---UV-J-s-----2----.-(-�-
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