35179 LLfi IC�htia0d� or z
CITY OF SAN JOSE P L C /� c BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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...... r 19- 4 Permit Noss/7/
Application is hereby made for a permit to ..:..: '..:.`.
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1 {L ti e ri ��-.+r • .._-_-- Building
a...-- --------- tory, Type.---U:- -- ---- ---...- - ....-�.
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to be occupied only as .�...�..-F..... .'.'.7- ` i1/ - //
in accordance with Plans, Specifications fid{ pla d &e a +51s'
Estimated Value of Improvements, $---.`.°_°S----------------------
It is hereby agreed that the requirements
lll of the San Jose Building and Zoning Ordinances and aof er
laws applicable to the construction, location, and use of buildings within the City of San Jose,
willbe
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.
Owner R. i. Hu esti dA�'ro. 1 we- Address i0(6S'----- -!i- - ----9..--....--..
............. Address .`w---------------------------------s7_ Tad'c
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By ................. --....
Contractor, Agent
Form 280-1 - - -
RECORD_ OF INSPECTION
Foundation
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Stucco ---------------------- --------------------
inish ----- —:PLOUf �lfCd7
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