3458500 k6hiW68 '.�y'77_ --,? moi'
CITY OF SAN JOSE A BUILDING DEPARTMENT
APPLICATION FOR BUILDING. PERMIT
Date ............................ ?a , Tmif No.
Application is hereby P mif to L<�--- _---------
,�e f a er ...............................
T�np'
------------- Building
A41
to be occupied only as
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements, $_,Z6�269
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It is hereby agreed that the requirements of i 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 -
.0 i�v . /
n in any m4nner)so as fg/violate .,the workman's compensation laws of Californ I /I
Form 280-1
RECORD OF
Foundation ....
................................
Stucco ------------------
/0, j 5' -� 6 12
,6:-, o-3
INSPECTION
Frame -------
Finish ------ e�
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