37583 765 S u6k40
CITY OF SAN JOSE JOSE BUILDING DEPARTMENT
ALPPLICAT11'90�144""' /"BUILDING PERMIT
Date Z/-------------------------------- 19--- P mit Ncs.17�83--------------
Application is her�badpfor a permit t -----------------------------------------------------------------------
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to be occupied-onl as
in accordance with Plans, Specificd<ons and Plot-plan filed ed-bwewifh.
Estimated Value of Improvements, ..................
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 i�.ueH,shall,not employ any per-
' son in en mannhr�s a I to violatq the workmen's compensation law f a
a
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...............Address 7 ---- ----------------------------..................
Contra r, Agent
Form 280.1
RECORD OF INSPECTION
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Stucco ... Finis
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