27890 (2) 11901 S. Saratoga-Sunnyvale Highway
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date----- ---------- ---------- Permit No-----2.7---
Application is hereby made for a permit to............ .. ........ ----------------------
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to be occupied only as......4-er. ......... . .....................
in accordance with Plans, Specifications/and P -plan filed herewith.
Estimated Value of Improvements,
it is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other laws
applicable to the construction, locat', anda use of buildings within the City of San Jose, will be complied with.
address----------------------------------------------------1--------------
I Owner. ---------------
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BY- - ---------------_--------------I -.....Address-------------------------------------------------- ----------------
Contractor. Agent
For. 280-1
01 S. Saratoga-Sunnyvale Higlii•.'&Y. F. Rice
RECORD OF INSPECTI
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