32986 CI' 8F SAN�S�ili "'� BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date------ 194,
Permit No ---------
Applic tion is herelo made fora ermit to ....
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_d4_-n_ ---. ory, Type -----e�. 1,13- ---- Building
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to be occupied only as
in accordance with Plans, Specificafior
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Estimated Value of Improvements, $------ -
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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 manna so.as to violate the workmen's compensation laws of California.
Owner
V) I�.Acldress VlZlf�� e
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ne
By ... . . ......... ... .. ��Adclress
...................................
Form 280-1 t0o Agen7
/ RECORD OF INSPECTION /9 p
Founda4ion .7.-. �. .� c�.✓/`Q^.-�.._. Frame , I(e..rV.._/ Tsa..�
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