39960 C All` SAN JOsjtL lYdc- BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
TrecfN0
Y�.�.�.'2.'5�.... Lot No. -
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Date. . ..... -- �--------------------------
, 19.e� _'9/.... Permit No.t5__9C/._4....0---
Application is hereby adlefQr e permit
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a.__1------story, TY - .... .. .. . . ...../ -- ---------------------------- --- Building
use Zone .....R.'.1_.....
-c a
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to be occupied only az ..`.... '.'.° ..
0000 " - yl r'Space ------
in accordance with Plans, Spec
ifics#ions and Plot-plan filed herewith.
Estimated Value of Improvements, E._.�rS."m...d_.f----.---
_.-.
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 so e o violal fha workmen's compensation lows of CaYni
Ow ---^L `CC�_C= :"..'..'.'...; e Address�� . . ...L.i(r --
ByA9L�a . ._.............Addres .._. ---.........--------
Form seo-I 1165 S otland Dr. R. J. _uFi Ater & Assoc.
RECORD OF INSPECTI ION
Foundstio ... .--�-Q._^.- :�+. r2 ----- -'-,._ /�--1-`!..pZ�-------------
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Stucco --------------------------------------------------------------�- Finish ... ..S-6r`i`ivJJ
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