43892CITY OF'SICN �O�BUILDING DEPARTMENT
,APPLICATION FOR BUILDING PERMIT
Tract No. ,act 2 �. Lot No/�
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Date.' /G-..-------.....__------... 19. h_ ermit No.:36..1..2...... ✓
Application is hereby r�r,gde for a permitNA .............. .......................................
a -----/------story, TYpa; -- -- --- --.... ... ../....--------------------------- Building
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Use Zone �
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to be occupied only as_`_._.....-._..... �, `'��Pace .----.............
in accordance with Plans, Specifications and Plot -plan filed herewith.
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Estimated Value of Improvements, $.-------------------- --- U 0 0
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 Son 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 men r so a to�iolatt the workmen's compensation laws of Californias,,
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GGvr /!/l i� �dBi�.'. Address��G. S� JJ((///'
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RECORD OF INSPECTION
Found at ion-)':: ;Z.-ran4AK —� �... Frame ------
Stucco ........ -
Finish ---------------