35530 (2) 1-04-7—C 6t-6 by H-111-§
CITY OF SAN JOSE BUILDING DEPARTMENT
607— '?J—
APPLICATION T.R BUILDING PERMIT
Date- --------------------------------- 19-6Z-- - Permit No.
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Application is' hereby made for a permit to -----01-:4------ --------------------------------------
a----------/-----story, Type.--�&. ........ . ------ `4--Ie`------------ Building
;at AfP..,V- ----C-/L2&-
to be occupied only as - -- ------------
in accordance with Plans, Specification, anV-palahwtj
Estimated Value of Improvements, $ -- ---
If is hereby agreed that the requirements of�(h. 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 any manner so as to violate the workmen's compensation laws of California.
Owner --- &144..........Address ---------------------------------------------- -----------------
By
. . ....................Address
n
Form 2, Hil 1 S Mr. & Q4-- j
80-1 - - —
RECORD OF INSPECTION
Foundation ..... ..
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Stucco .......
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