3450174T1ft��fS� JOSEBUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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Date./...- ... --/------------------- 19-- .... Permf.�No. 3 7(-__57<)t -......---
Application is hereby �e fob permit toa _ .
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at ... !.
Building
to be occupied only as ------ P
in accordance with Plans, Specifications and Plot • I he i
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Estimated Value of Improvements, $.��-0------------.
It is hereby agreed that the requirements of the San Jose OLilding 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 int the par rmence of the work for which this permit is issued I shall not employ any per-
son soo/ies to violatehe workmen's compensation laws of Celiforni .
Form 280-1
RECORD OF INSPECTION
Foundation ---.--4.- -0 Frame
Stucco------------------------------------— yam" /O/ �v�Y
------------------------ Finish
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