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CITY
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CITY OF SAN JOSF� BWL ,7TMENT
APPLICATION FOR BUILDING
LL
Date------ P7mit ---------
A Ii ation is hereby made for � permit too ...... ------------------ 7-------------
a------7-7fory, Type----V---- - -- - - ------ - .... Building
at --------------------- -------------
to be occupied only as --- ------ -------------------
in accordance with Plans, Specifications and Plot-plan. filed herewith.
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 issued I shall not employ any per-
son in anyEwb�o violate the workman's compensation laws of California.
M MY I nc.
Owner 2151 St. Francis Drive ----- -------------Address -------------------------------------------------------------- -
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By -------------
------- ---
Address ------------
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Contractor, Agent
form-280-1
RECORD OF INSPECTION
Foundation -,T.r-a 0 ----- ----7�74/--
Stucco
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