32986 (2) CIWOF SAN111� P'"'i BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Dafe-;7 L
....3...9......... 19__� Permit No.-2-4;--- .......
Application is hereby made for A;if to -------- ---------------------
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d'aiA -sfory, Ty a- ftr'-J-- - --------------------- .............. ...... Building
P
at ------
to be occupied only as --- ---------------—
in accordance with Plans, Specifications hn plan fiwr/Vi6/Y
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-
son in any manner sous-to violate the workmen's compensation laws of California.
Owner _.)✓-_---------- -44414z,.��.Aciclress
By -----.Address
.. ........---------------------------
.... .. -----
t
Form 280-1 lContr ctor t 6*4_
RECORD OF INSPECTION
Foundation -------- Frame .4-3-7r&
Stucco ------=---------------------- ---------------------------------- Finish 77Z�
32023
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