32975 (2) 04 9694 A169AW
CITY OF SAN JOSE /_0-r LiLl BUILDING DEPARTMENT
APPLICATION FRR BUILDING PERMIT
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Dafe..S__-_ 2-_,�l....................... 3 -17 ��)
-----------------------
Application is hereby made for a permit to -----t(_p---........._
Permit No.-.-- _.�2(_p--------------------------------------------------
a-----(-------- ---story, Type---,-i,./--------- _--------------------/...r ------- Building
at ---9_z--------------
to be occupied only as - --------lt641
-- ------------
in accordance with Plans, Specifications and PlotQan1fed
Estimated Value of Improvements, $--- ..........
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
Ia.$ applicable to the construction, location, and use of buildings within the City of San Jos., 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 a��_/1eA4
o as to violate the workmen's compensation laws of California.
Owner
6'"YAddress -------------------- --------------------------------------
- --- --------
By ... ------- -----Address ---------------------- ....
Farm 280-1 924 RUArA-c'9169%p6m Loma Verde Const.
RECORD OF INSPECTION
Foundation Frarn.
Stucco -------------------------------------------------------- Finish
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a 0- 3