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CITY OF N JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT IA
Tract No. _3281----- Lot No. ....3-6........... 2�-
D.t62--.2-7------------------------------------1 19....----- Permit No.---. � --./ ----------
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Application is hereby made fora permit to --------c.onatrMt------- .. .. ...............
a..._--'---.story, .... .. ..... -------------------------------- Building
Use Zone
-.Rai nbow:,�DriVe/ -----
at ..7941,' f —
CCU y ...........
as -------Re'si den
to be occupied only -------------------cq��e 00�/,(4guvce ........2� .........
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $..../.. 4-0-6?
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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 Son Jose, will be
complied with.
I certify that in the performance of the work for which this permit is issued I shell not employ any per.
son in any manner so as to violate the workmen's compensation laws of California.
Owner Stoneson T!PC zi ess .....Fe---Q......13OX...I 1; --------------
3�
contractor San Bruno
Address -------------------------------------------------------
ByAgert �ii:2:1-a-"'mi A'*Co7 an aupt
Form 280-I is
RECORD OF INSPECTION
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