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32339 (2) 93 � waA-
CITY"OF"SAN`JOSE'""---""-"---- ___ -BUILDING DEPARTMENT
LOTI!? _APPLICATION FOR BUILDING PERMIT
: DEC 2 .-.195...._29 Permit No..�a2t
Date - .............
- ...... . ... -
Applicafion is hereby made for a permit #o........... ....... . .................................................id
a-------Ill.'s^----story, Type..,..........3-------'r.^i- icc--------------------------------------------------------------Building
-• q.. t• �.. �r X71 aIJ-i C. r -
f Hiss.:�.^..._.��....��.............. .... ... ..... .... �.. .. . ....-.-_�...............-.-.......
+o be-occupied only as-........:,n.C'...... 'ld-k'It---a,,_:al l , n ---=?----
ria/.e _
l� .�
in accordance with Plans, Specifications and Plot-pan tied he" rewi h��
$ 1 l.�©p ^ .r ..,
Estimated Value of Improvements, ...... ......................... -�---'-'--"—
It is hereby agreed that the requirements of the San Joie 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 com-
plied 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 become subiect to the workmen's,compensation laws of California.
Owner..-----'=I .... ii s '.z.. >t" ...... -...Address ...._ -v -'
C
Palo ,Ito, cl: :o^TTin
.......A --------------------------------------------------------
ddress
Contractor, Agent.
Form 280.1 i y.. ..a. st':if:� =�y�....'�.---•�__....^I
RECORD OF INSPECT!P*.
.................................... ......v... ..............................
Stucco............................
