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CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FORVILDING PERMIT
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Perrif o._.3_7_3__o__?-----------------
Application is hereby m4de for a permit toc:�2�? --------a-------- ----.-story, Ty pe , V-.-0...-.................`--_ Building
at ----------
to be occupied only as ------------- --?
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $//-r/--`----------------------
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 issued I shall not employ any per.
son in an enn so az b kmen's compensation laws of California I
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re," 780-1
RECORD OF INSPECTION
Foundation - ------- ---—--/4—/o (6 f
------------------ Frame --------- -----------------------J-/
Stucco
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/Finish -----
S+ucco --—--------- -----—------- /Fin