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CITY OF SAN E_ 4; BUILDING DEPARTMENT
APPLICATION FOR BUILDING} PgRMIT
Tract Lot No. a . ..4------
Date......... ... .... ---------------------------- ......... 19 Permit No.---...y/..1. 6-` ----------
Application is hereby mad f permit
_Sado or a to—---------............................... . ......... .. ---- -
a_...-....story,I,Ty .... ........... ................ Building
4 Use Zone .......... -----------
at ........ ........
be occupied only as ... ig Sp ------ ----------
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of Improvements, I Zoning Ordinances and all other
It is hereby agreed that the requirements of the San Jose uIl ing aw
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-
so violate th workman's compensation laws of Californ'
.....................Address
Form 280-1
� RECORD OF INSPECTION
Foundationc- --44---- ------------- Frame—... . 2
-f C 3 A
Stucco --------------------------- -------- le. -�Fh - q,-
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