39960 CW _!: SAN JOAF �XpriVQ BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No,7!5.- .. Lot No. -::i
CC�� 400
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.........._._----- 19 Permit No..�..... _'?.v.v-----
Application is hereby made for a permit +o /.......................................................� ...............
a...... ......story, T Pa'�-. 1&��
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at ,1l1., �. Use Zona ..R �ur...---
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to be occupied only as . .-......>...1".�:--- ...V " '�Fpac,Wncye ......�............
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $. er
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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 shell not employ any per-
son in anVmano so as o violate he workmen's compensation laws of Californi� Lwe �:C!1 C-Z O `{....e��a'C...Address/. ......��..-J.,... ... ....fir....�.�` . ..�Contrect -----
ByAymt.- a ...L... Address .... - - - ...
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Form 280-1
RECORD OF INSPECTION
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Stucco ...........- ------------------------------- ---------- ---- -- Finish ..........4 g::)AAP�
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