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CITY OF SAN JOSE _aSrNGDEPARTMENT
ICATION
121M�4mr,v, 19`;_, " _fiYILDING PERMIT
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Date....;Z 19..-�2_ Permit --------------
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Application is here6y made for a permit to ... --------------------------------------------------
a----/..........story, Type------------------1- --- -- --- - ----------------------------- Building
at ,74�__4371__"Ar e0e..
to be occupied only as --_/.....-- IMA5,
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $-.. ------------
It is hereby agreed that the requirements of the So. 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 a, to violate the workman's compensation laws of California.
16155 Greenwood Lane
OwnerMES ..................Address --------------------los-GatO&F-Cal ---------- -
....... ---------
By ---Y - ----- ----- I---'"?-----...-----.Address ------------H15.5.-Greenwood-Law-----------
rAgent -Z-
LOS Gatos, California
,
Form 280-1
RECORD OF INSPECTION
Foun -.60000--45 r 4 z
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