27313 (2) 938-40 Miller
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
LOT- I a
Date............-........... ----:MD..... Permit No......2.7...3.1...I..........
Application is hereby made for a permit to.......!..r...........
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a... ... ..........story,Type---- -------L........................... . ----.........Building
aq... . ... .... ... ----- .... ... sl. . .
tobe occupied my as------_---------- ----------------------------- ..................
in accordance th Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $-..1.15—, Q (D (-)
11-------------------*
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.
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Owner,51.1fx...L . .. .. ..
By.......... _1 .......I......... c
...............................
....................Address
Contractor, Agent
Form 28D.1 938-40 Miller 0 . Shoemake
RE OF INSPECTION
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Foundation ' - .� ��.-.. :.......- Fra ......•-......--
.......%Finish-- �'-8 S /v!!IU
Stucco.-----2:.............. .............( $ x.16
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