32986 68b �6ta I
C6 .OF SANI &Ehm6
SBUILDING DEPARfMENr
APPLICATION FOR BUILDING' PERMIT 135
Date--- 19....h Permit No.3;7--�',? ---
Application is hereby made for a permit
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fory, Type) -- -- - ---- - - --------- --rZ-
— Building
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�to be occupied only as - - �IF+ n
in accordance with Plans, Specifiand Plot-plan filed herewith.
wi
Estimated Value of Improvements,
It is hereby agreed that the requirements of the San Jose Building and f 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 Aolato the workmen's compensation laws of California.
Owner ....................... ...... 4-Address
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By - - ----------------- ------ - -- ------ -------------Address
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�ntnctor, Ag
Form 280-11 1
RECORD OF INSPECTION
Foundation Fame
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