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CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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Date----//a/42........................ , 19------... Permit No. ----------------
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Application is hereby me a f,"I" ';,permit to CON37RUCI--------------------------------------------------
a-- h-.Pi.....stbry, T pe--------- - - --- --- - - - ----- ' '-- - -------------""'------------ Building
to be occupied only as -INGLE...FAMILY_RE--- "
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $---�-��..Q ------.-
It is hereby greed that the requirements of the San Jose Building and Zoning Ordinances and all other
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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.
U IFIELD INVESTMENT CO., INC. 1300 EI Camino Real
Address - --. --- -Owner owner ..-----'----- '- Menio" Park, Cal"ifornia"-----...
�' yy Turg.4dress -----DAvenport-1-707U
ontre< oq Agent "ffOlOCtNlOnager
form 280-1 -
RECORD OF INSPECTION
Foundation --------/
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Stucco --------------------------------------------- in