29657 (2) 76119 Rainbow
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT ,
Date.-?T'0-e----------------------------195*10 Permit ------------
IF............
Application is hereby:m.�iaje tor-a it t .................................
permi
a.........L......story, .....................................Building
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at.......... .............. ----------
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to 0 �w
be occupied only as----- ------- ------------------------------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $.�Pl..O.Ao--------
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.
Owner...
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------------------ .............4—..........Add
By------ ------ Addr
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n ra or, Ag�nt
Form 280-17615
R -2- Lindsay
761, ainbow
RECORD OF INSPECTION
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