34585 OJ4 kAMV008 4, 7— ;Z 6
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATIO14 FOR BUILDING PERMIT
4
19 Prmit o-------3---� .1975------
0
Date -------------------------------I
!.e
Application is heretyade for permit to —a--------1--.--...story, Type....�. ----------------------------- Building
... . ............
to be occupied only as
in accordance with Plans, Specifications and Plot-plan filed herewith.
lev'J5� 00 —�
Estimated Value of Improvements, Z--
. $ ---- ---------------t------------
It is hereby agreed that the requirements off a 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/ I h workmen's compensation laws of California.
'j�' J—J&x
0 Address/e .. .........
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Lz�"�7 ............
Address,--------------�57..............................
Form 280.1
RECORD OF INSPECTION
Foundation
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Stucco ....
.............. . Finish ........
---- ------------- -----------------------------------
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