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74G�I vF Sjq JOSE ��BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date --... fr — 19..... `�: Qermi+ o...---/ .... ........... ...-a----.
Application is hereb_'made/for, aappermit +m�� tz�----------------------------------------------
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a--...__-/--s#orY, TYPe , fl.�.".'---'---f/_--;----.-:._----------------------------- Building
to ac occupied only la ...... -ecificat------ .---...nd PI � /�DC �
in accordance with Plans, Specifications and o+ --pan i e re
Estimated Value of Improvements, $cl m --- .
I+ 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 shall not employ any per -
ren in am, manner%so as to. iolato the workmen's compensation laws of Celiforniiiq , ,
Form 280-1
RECORD OF INSPECTION
Foundation --- /0,.:
Frame---------
.......------- --
Stucco - - - - inir h