43212 (2)7946 Ci"iAhb6Hiy Citd/ l I
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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Date/,�-I—/" Z ------------------------------ 1 19 ----- Pqrmit No.432-----------------
is hereb
y,,ma4_j,pr a permit W .......... ..........
a- __ii4 -------- story, Ty -- -- -- - ----- -------------- ---- Building
Use Zone -----------
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to be occupied co ----------
only as -------- ------- --- /Pat pace
in accordance with Plans, Specifications and Plot -plan ad herewith.
Estimated Value of Improvements, --- ---------- .
It is hereby agreed that the requirements of the Son Jose Building and Zcring 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 m ner,ls�,% to violate the workmen's compensation laws of C 211rfor 1,0'
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Owner
------ Add ------- --- -------
,.; " -,47 -
ByAgent - ----- ... ...
-------------- Address,. --------------- - -------------
cont..
Form 280-1
RECORD OF INSPECTION
Foundation..... Frame .._::Z-..:..�[.� -----------------
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Stucco - -
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