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BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date ------------------------- 19 tp Permit Ncs....31 --- 71-��=-
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Ap rication hereby made. for a permit to --------------------------------------------------------
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a - ------- story, Type - -110
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to be occupied only as ----
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in accordance with Plans, Specifications Plot -plan filed herewith.
Estimated Value of Improvements, $.....(.. 0.490 -----------
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and .11 other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be
complied fy with a . ' n I per rm the work for which this permit is issued I shall not employ any par-
son
or" any
sonar If performanceof
sation laws of California.
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dress
so w;ne..
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By. . . ...Address --z ----------------------------- .......... ---------- ------
John Krysiak
RECORD OF INSPECTION Q
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