37597 (2) �a?*OF K .]S ivy A4 J. Eiahl tij & Assab:
II'YOF SAN JOSE LAIV T BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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Dafe---"--- -----/-------------------------------� 19----x------- Perm+ No...3
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Application is here2bXwde for a permit to -----------------------------------------_-...__.
a---------f ----story, Ty - r - ----------------------- Building
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to be occupied only as -----
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in accordance with Plans, Specifications and Plot-plan filed her with.
Estimated Value of Improvements, $-ZZ: .70---
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 per.
son in any mannrr so as to violate the workmen's compensation laws of Califorplal
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C�� c`tAor,tagent
Form 280-1
RECORD OF INSPECTION
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Stucco
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