NO PERMIT NUMBER CITY'•OF SAN JOSE BUILDING DEPARTMENT
U�0-••APPLICATION. ,._FOR BUILDING PERMIT
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Date...............$C?---...- --...---..._----•-•--.:...195.....:•r 38 Permit No—:'_�+.'L"m0.°'�'�':.........
Applica+ion is hereby made for a permit to......:......liyiiow............_..................................
+ . Building
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Lot yip, it Ju9e, lit::
o..e ..rtil9 ... .::l.yn:
to be occupied only as,....--'--................................... ,/ ............
in accordance with %ens, Specifications an PI kh f e A i X
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Estimated Value of Improvements, $.....r.........................• S '
It is,hereby agreed that the requirements of the'.Son Jose.Building and Zoning Ordinances and all other
laws applicable to the construction, location, and .use of•buildings-within the City-of San Jam, will be cam-
,plied with: .
I certify that in the.performance of the •work for which this permit•is issued I shall not employ any per- .
son in any.manner m as to became subject to the workme'n's'.'cempensatioh laws of Colifomin.
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Owner......A---..._�.� ..........1..
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Ad if..1»:a . .'_i orni
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Contractor;Agent �'•
Form 220.1 d. Lp ..,..1f.'i+�
RECORD OF INSPECTI N
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Found,/---.../ - .................
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Stucco-----------------------...........----............................ ...Cp