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CITY OF SAN JOSE F_ BUILDING DEPARTMENT
APPLICATION FO"UILDIL1d-_ PERMIT
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Tract No._312�1 Lot No. ---------
Date-------------------------------------.....----- ..... 19 Permit N
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Application i hereby do for a permit
is ---------------------------------------- ----- - -------------
01
Typ:r- ---- s./--..----------- Building
a---------/....story Type- i�
a_v Use Zone
at ------- ----------- Occupancy
to be occupied only asz.-
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in
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in accordance with Plans, Specifications and lot-plan f&W�Nereith.
Estimated Value of Improvements, !$,��_0_
It is hereby agreed that the requirements of the San Jose wilding 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 isissued all not employ any per-
son in any mann so a,-t violate th workmen's compensation laws of C.lif.mi
11 Address A... -----
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Con
ror
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� C/N
Form 280-1
RECORD OF INSPECTION
Foundation 47.7 —:Z-1-4-3-----"
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Stucco
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