44896-F935:�Bubb
CITY OF SAN JOSE
r'PUILDING DEPARTMENT
APPLICATIOtt"R BUILDING PERMIT
Tract No:!402—...Lot N.........5-.......
Date ........................... . ...... !�.... 19 ... =65 Permit No. ,...
Application is herebb m d f g p k. ------ -- ---------------------------------------
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r'y, TY
PQ .................. sto Use Zone. ----- /2-/
- -----------
at ...... ....
............ 1;1ti... .........
Occupancy ----- - J� ...........
to be, occupied only as .... I ace ------- ..................
P
ew
in accordance with Plans. Spec* 1
-14 if—and Plop v
Estimated Value of Improvements. $ ........
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 person in
any manner so as to violate the workmen's compensation laws of California.
Owner ................. q ..... ..............................
------- ... Address .... 9.a
By Contractor Xl(lf 7
.. z A&r k'a 46
Agent .......... — ----- Address --- M.!� ... ............................Sy
933 Bubb C. J. Dineen
RECORD OF INSPECTION
2-ld�'GG
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Form 280-1—IOM-12.63