34501 75 ITlt WOCAN JOSE / �� BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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Permit NNoo.---- .... .
Application is hereby e f r a permit to/ r --
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/ ... Buildin
a.... story, TYPe 9
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to be occupied only as .
in accordance wi+h Plans, Specifications and Plot-plan f' raw
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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 wiihin the City of San Joie, 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 any manner so as viola}e the wor//kmen's compensation laws of Califor w 6-
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O ne — v / -Address OG °.:..J i!� � - ....
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G rector, Agent .
Form 280.1
RECORD OF INSPECTION
Foundation --------- 2--
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Stucco
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