47329 F 1182 Crestline
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
• Tract No.......................Lot No.................. 7
Date----- ..........��L3...... ig...(e.. Permit No..................... ...........
Application is herebyf4�)--------
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?..story Type.... .................... ... Building
Use Zone......
................
to be occupied only as .......
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in accordance with Plans, Sp 1-c,-�:---------------- -ot. an filedtlhqereei�wif
Estimated Value of improvements,$......7—,rm..................... / ��
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 person in
any manner so as to. violate the workmen's comp,ensation laws of California.
-------------Address....
Owner....... ........... ...............
Contractor
By Aga
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........!.4 --Address...
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iys,:2� C& e y J J. Plunge
RECORD OF INSPECTION '
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