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CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICAkil�VNIFO BUILDING PERMIT
Daf/a';�-----55------------------- lq(e�./' Q4�q _hmif No. 3.13.0-3...................
Application is hera�y_
' 5,cle or a permit foi���_ _ -------------------------------------
I "I W Building
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at ---.//YA------- -------1?2),......Y�N
to be occupied only lmllflclk
in accordance with Plans, Specifications lland Plot-plen filed herewith.
I' ----
Estimated Value of Improvements, f-Y--------------
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—---
It is hereby agreed that the requirement, 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 i he performance of the work for which this perm�" 10' employ any per-
son in an n a S s 0 violate a work 's compensation law, of California1�ul?ilarra
7K,,,n
®.Address/ 4�r------f---------------- -------
0 ne
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Contract r Agent
Form 280.1
RECORD OF INSPECTION
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Stucco
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