37583 (2) 7647 Squir6w0Xj05;�
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CITY OF SAN JOSE /I BUILDING DEPARTMENT
ALPPLICdTION BUILDING PERMIT
Datel.-f /------------------------------- 19--- it No. ---------------------
Application
3Application is here�ade for a permit•" r---------------------------------------------------
------story,
-------------------------------------------------------story, Type�'-P �Lr/ / f _77 -------- Building
.7_ . -- .-...
to be occupied on as� �I�7
in accordance with Plans, Specifications and Plot-p d 6d4
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, 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 men r so as to violate the workmen's compensation laws of ,Califor�
OwFalr� r-.Addre'ss/�l J�! ��Gcr c -
---------_... ..........Address_..---s-- ------ ...... . .....
Con tier, Agan}
Form 280-1 -
RECORD OF INSPECTION
dgal,on *
Foundation -----..... ------- --------II ------------- ram. ------- ...........--------
Stucco ------- - -- -------- ---------
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