32986 CIOF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date-----:0�. ........ 19..k ?_ 14 Permit No.7k...
Appli ion is hereby made for a ermif to ----- . ..............._-.----.---_-
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y de for r�
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a)eoy __ __ WVA5,q:Z�t----------- Building
a45;o�tjDryt Typej5 :�_e I
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at ------- ..... ...... 2_,� 6 376 0 �5e,-r ro/t/tu in o.D C
to be occupied only as .--------- -- ----------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $------141,50 -Q-----.
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------141,50 _(D------
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 manner so as to violate the workmen's compensation laws of California.
-Address/�/_k-6------------------------ 4x
Owner --------
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By e.- Address Azie,
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Form 280.1
RECORD OF INSPECTION
Foundation --- Frame K714P S...........e....
SAO ------------i--------------------------------------------------- Finish -----------