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SAN At BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.%34/0..2—_—Lot No. 'q4-.... ... ;C7e_19V
---------------------------- Permit No------y/---27-W....
--------- ----------------_---- ---------------
Application is here a arm 1�to -- -----------
made for , Yp
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a....2_ story. Type_/�
....... . -- -------------------- Building
Use Zone I
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to be occupied o __
�4z r�iiccu Space --------- -
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in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $c!?4_! ...........
It is hereby agreed that the requirements of the Son 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 marmo as to violate the workmen's compensation laws of California.
96HULTE:
Owner ------ ----- _2�633.'CAMP DEV_...CO.Address . ............ ------------_-- -----------
ContractOr -6 A
ByAgent ---- -------------M-PSE-L"-CAWFORNIA Address ----------------_--------------------------------
Form 280-1
RECORD OF INSPECTION
Foundation Stucco
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