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CITY OF SAN JO ahaWiLDIN EP TMENT
APPLICATION FOR BUILDING Pd
Date--------------- - --- --- .... 196/1z -Permit No.__ jP..... ......
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.................
A licafion is hereby made for a permit to ------------------------------ ------
14CL.e Y
!::e�---- Building
at -----_-----------6�-----------------
a ...7----story, Type_
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-
anner
son in any Mlet
LmTi Plate the workmen's compensation laws of California.
Owner 2151.St. Francis Drive ------------------------------------------------------------
Cj;- 7a------------------------------Address
By ----- -------- - ---,0 .............Address ---------.......... ............ ..................
Contracto , Agent
form 280-1
RECORD OF INSPECTION
ISI
Foundation ------------------
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Stucco ----------------------------------
------------------------------ Finish --------------------
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