40113144A OF SAN BUILDING DEPARTMENT
APPLICATION FOR BUILDING ERMIT
59 L t NO. ;ve
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Application is hereby made for a permif m— ... 11 ------------------------------------------------- --------------
a ... _/-----story, Typ .. .... ................ ...........- Building
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at .6 .. . . ........ Use Zone - 7 --------------
-----upancy T ---------------
IVAy621 -
to be occupied only as - --------- .... * ..... raini Space .... -----
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in accordance with Plans, Specifications and Plot -plan filed herewith.
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 per
son in any mapner o as to olate the orkmen's compensation laws of Calificrm
AG
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Contractw a•
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BYA9 ----------------------------- Address
Form
RECORD OF INSPECTION
Foundation Fra
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