30993 A73 Astit"
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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Date...L ------------------ Permit No........... ----------
Application is hereby made for a permit to._._(2-1$rx, ..... ---------------------------------
a.........../-------stor Type.. ------------------------------Building
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to be occupied only as..--- ........ ----------- — -------._-----
in accordance with Plans, Specification``` e
Estimated Value of Improvements. $.-- d_)r.2�0.
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 c6m.
plied with.
certify that in the arFormance of the work for which this permit is issued I shall not employ any per-
son 'n any ne s to coma suLlect to the workman's compensation Iaws of California.
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By......05.- . ... .......... ------ - --.Address------.....;--------------------------------------------
antreacto,Ir. A Agen
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Form 280.1 1273 Aster T . Lindsay
y�f// RECORD OF INSPECTION a
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ice - 33 �' 9y