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CITY OF SAN JOSE 4UILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT 4903
Date----....-- l —_-------------- I g_,_f_7 Permit No..71/.Q?2.(11------------------
Application is hereby made for a permit to-----&e_w................................................
............................ ........
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.
a-------------/---story, Type...,...Z� ..............."------'----Building
Building
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to be occupied only as.. - -
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $..-Z-e5-1J--- -------
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 com-
plied with.
, certify that in the performance of the work for which this permit is issued I shall not employ any par-
son in any manner so as to become subject to the workman's compensation laws of California.
Own at.j��
... . . ..
By--
--------Address......................Ije-----------------------------------------
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Contractor. Agent
For. 280'836 Stelling -7_�Z.��7 Loma Verde
�j RE,C/OORRD OF INSPECTION
Foundation-_ . .`.:S!.._�'...lJ�..-�-FraKe------� -1Y.- -s- q---
Stucco--------------------------- - ....-..- - '.:. Finish.-..... --