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t 71TY_dFiSxe_1NW�fCivE_'_ —-----BUILDING DEPARTMENT•
LOT--9-/ APPLICATION FOR BUILDING PERMIT
Date........LS.Cpt.!� .......:..........195.-.-.59 Permit No... ........... -------------
Application is hereby made for a permit to- ----------1014.1d.................................................
a........ORO....story, Type.. . ....--------------
---------------------_-------Building
7
at...... :L)9
.!r9q.9 Tract '19., 25.23 ...;jaA__J9Sjq.v... ---------
to be occupied only as ..., X!(Kff.Q...................................
in accordance with Plans,,Specifications ajnd
Plot-plan filed herewith.
Estimated Value of ImproVements, $...... ........................
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 Son Jose, will be com-
plied with.
, certify that in the performance of the work for which this permit is issued I shall not employ any per-
son
erson in any manner so'as to become subject to the workmen's compensation laws of California.
Owner _q............Address.........2 Gm 4no Roal
_qql--- --------- ----------------------
R ---------------y-------o AltoCalifornia
By-------............� 1_2_�---`� --------**-- ----
Contractor. Agent �b
Form 280-1 114. L. SHAPi�
RECORD OF INSPECTIO
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Foundation... ...................
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Stucco.................
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