32655 (2) CITY'OF SAN laio"Oaf BUILDING DEPARTMENT
p� APPLICATION FOR BUILDING PERMIT
Da#e.t --fid`- ---------------------------- 19&D Permit No. -----------------------
Application
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Applica#ion is hereby made for a permit to
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a-----`:-----...story, TYPe--�------------------------� ...... ------------------------------------'------ Building
at ----.7.5.1:2-.4-----------. $
#o ac occupied only la ......
Specif'-� �nd)h��V'
in accordance with Plans, Specific nd P t
Estimated Value of Improvements, $--- .f�.:4--d-Q.._--
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 so as to violate the workmen's compensation laws of California.
Owner 1.._/....c .avutcn'-- Llr44rC tc:Address ------------------------------------------ ---------------------
ByZ -Z.d.A.-e _.Add less --------`------------------------------------------------ -
ant. ct r Age ra
Form zao-I 7526 ba�ien eaf a _,z3�d Newman & Vie
RECORD OF INSPECTION
Foun%14ion .-- ------ Frame -'-----`- -----------
S+ucco ----- Finish 6 -------------------------------------------------
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