48075� . . . _ . . -
11b4 MiLky Way � Ci
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CITY OF SAN JOSE " BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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Applieation is hereby made for a permi+ fo .... ........... .J���
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° ---- � -`st T e -....�6---/,-�-----�... ------- ---- ------------------- ---- Building
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fo be occupiad only as -_!f�N�---..�1�//[�. �� P r " �ef.,.---•--------.---
in accordance with Plans, Specifica+ions and PI o le /��
Estimated Velue of Improvements, $...�0��._�..........
I} is hereby agread fhet ihe raquiremeni:af fha Sen Jose Building and Zoning Ordinenees end ell other lews
� appliceble to ihe consiruction, locefion, end use of buildings wiihin The City of $en Jose, will be complied with.
I cer4ify tha} in the performence of +he work for which fhis parmit is issued I shell no! amploy any penon in
eny mannar so as to violafe ihe workman's compensetion laws of Celifornie.
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Owner--------'-�-'-----.....�._--.... .- - � ---
Contrector _ - �� /���
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1104 MiLky Way ��• L. Krolak
RECORD OF INSPECTION �
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FOem, 280-I _10�`n-2/85 - , � �