41729 (2) CIJ4 1b Rollingdall
Y F SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract Nor�.".27e- Lot No.--..5......2...--
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Date---- P it No. ----------------
----------------- 19Z...
Application is hereby_made for a permit to '19� - -------------- ----- - _ ------
a----. story, Ty a ..
. ................................. Building
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Use Zohe 91...............
at upancy __r---------------
to be occupied only as/.. "'Irg Space ----—--------------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $-Z.,/---
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 Son 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 i I f th kmen's compensation laws of California
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Address . ............../.%!.C `Form R. J. Hunter & A_a
r I (j. REECtO,�RDD OF INSPECTION
Foundation -----W`.�-�-----V5._.f'�-.-✓------- Frame :.7.T...
Stuccy ._,.e.2i.-(. 3._U'.4 Se--------._.. Finish -r----:.1. -� ....a
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