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CITY OF SAN JOSE BUILDING DEPARTMENT
APPLI ATION FOR BUILDING PERMIT 7V ' y°
Date...6',(---.1o�-----C��- z------, 19---�-1.. Permit No.14C374- -------------------
Application is hereby made for a permit to .-. r --------------------
a---------/-----story, Type--.' - 5----------------------. .------ ---------.....--------------- Building
at ....../_z -, ss ---- _--------f
to be occupied only as .../.�-f122tL�--�-
in accordance with Plans, Specifications an
Estimated Value of Improvements, $-----ZZ -------------
If 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.
I certify the+ in the performance of the work for which this permit is issued I shall not employ any per-
son in any manner so as to violate the workmen's compensation laws of California.
Owner -d
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Address ------------------------- ---------BYJ 6Contractor Agent
Form 280.1 -
RECORD- .OF INSPECTION.
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Stucco .........-----------
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