35179 (2) 'a' 4AWJJ SE L n'r 8 BUILDING DEPARTMENT
ITY A p�„N K ' .�' �i�.r.
APPLICATION FOR BUILDING PERMIT
Date........../+/ f^_f-... Permit No.. q-----_---------
Application
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19-- Jam/ f
Application is hereby made for a permit to ----: _'_.`_tF------------------------------------------------
a.---/.......---storY. TYPe.�-------- ..--------�-J---/--.---------- ------------...------------- Building
at 1../-_2 a----
to be occupied only as __>6617
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in accordance with Plans, Specifications an ot- e e ere 1
Estimated Value of Improvements, $--- -.0_0_60
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 Joie, 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.
OwnerZ-.J-.-Hoorrra. i Q'ire. T?+c......Address ./ a65......
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Form 280.1
RECORD OF INSPECTION
Foundation -4,7- / ezf - Z'-
------------------------------- ---------- Frame -
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Stucco --
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