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CITY OF SAN JOSE �' BUILDING DE RfM NT
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7 APPLICATION FOR BUILDING PERMI -3-�
Date-- At" -d- 'X-------------- 19-6-1- it Permit No..,]�.-9.14! ..---------------
Application is
,hereb'y/mapermit w .._-...--...._..._....-....._.__.
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-' - ---------------- ----------- Building
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to be occupied only as .... >- ---------------U-.- %%/V���
in accordance with Plans, Specifications //and Plot -plan/ filed herew 6
Estimated Value of Improvements, $..-..1..�
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 San 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 in any manner so as to violate the workmen's compensation laws of California.
Owner ---------- ?Lr11_&._Raa ls..DhvA...... ........... Address ------ --------------------------------------- -------------------
P o Altol California
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,// t 3 ` ' .Address ----------------------- ---------------------------------------
BY --. -•...--Contractor, Ment �f
iorm 280-1
RECORD OF INSPECTION '
Foundation ----_. o-.��_G_c. G
Stucco ------------------------------ Finish -----