38227 T 18 OF SAN JOSE$§t�A Di+. �TgL7 .2PP8
6�ILDING DEPARTMENT
APPLICATION M uVILDING PERMIT
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Date 2 v----------------------------------- 19.�� -. Permit No.....�?_�. e Z.7
Application is hereby made for a permit to ..Zexl------------------------------------------------
a......./--------story, Type--------- 0a/ }1TR,—; .9r ------------
— - ..... Building
to be occupied only as ---/..------
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in accordance with Plans, Specificatins and/Prof-pla filed/h� h./
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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 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 in any manner so as to violate the workmen's compensation laws of California.
SOH-NSA - 16155 Greenwood Lane
Owner ------------- ._HQMES,- -----------Address ----------------{oS-GatOs;--Ca6fomia--------------
-- - ----- ----------.Address -------------16155 Greenwood-Lane.............
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By Los Gatos, California
, Agent
Form 280-1
RECORD OF INSPECTION'
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