30838 (2) 1596 Erni 4
CITY OF SAN JOSE
BUILDING DEPARTMENT
APPLICATION FOR qUILDING PERMIT,
Date.....:.--1...............-..............195... -11"zrmif No....... ........
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v D. ...........
Application is hereby made for a permit to....-101�ey --- - ------------------
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a-----------/----story, Ty e.....-Z7—-------------- ..........:--------- -- -- --2 Building
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at......................7 -
to be occupied only as............../� -------
in accordance with Plans. Specifica0r-.1d Plot,*pf /filfd4�r
Estimated Value of improvements,
It is hereby agreed that the requirements of the San Jose Building end Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be com-
plied with.
certify that in the performance of the work for which this permit is issued I shall not employ any per
I t' la f C 11f
as to become subject to the work emporia ion
son in any anner so P * 7
A ddireis---
0 W A,
By--- ........Address.........-------------------------------- --- ...... ----------
Contractor, Agent
Farm 28047596 morin �'54 Loma verde Const.
RECORD OF INSPECTION
ram
Foundation ... Fe'` ..........................................- /
stucco—•-----------------••---- S
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