34501 (2) 1471 §t6h_6r8 _c;_
CITY OF SAN JOSE JBUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Dafe./�_ ----------------------- _,97- P 7rit,No..... -------
Application is h Tbadrf r aqrInif to _ -----------------------------------------
0
are
---------V_------------------- Building
-----story, Type. ....I
a..._--'/------story,
"...7
to be occupied only as ✓
AWAJ
in accordance with Plans. Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $/411_ -2,:!�)-�5,-___---
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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-rrrgnnei's��/ao violat,,,e the workman's compensation laws of Califo,
YT 0,
%Jwner/t--- ...... .(7...Aciclres/se� v. ......
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Address�-_e....................
Contract` Agent SS ------- -------- -
Form 280-1
/ RECORD
ORRD� OF INSPECTION
Foundation ... D �`"�--,� ----�-�J" --- Frame --..- //-
--- .--"��Gd/YA�•_---------
Stucco ------------------------- /25,
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Fimzh -------------------------------------------------
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