32986 �Y18 C6tt6ft%466
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OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
D a f ....... . 19... -d-. Permit No----- ---------
Application is hereby made for a pe mi.f to ----------�Y_ e
---------- .......................
�7.IA714story, TypeLv — --------------- I ------- ----- Building
e,77'e V 6u 6 o Asp_
:t ------- ..........
to, be occupied only ----as .--------------- IA�4m
in accordance with Plans, Specifics+/n Cero)e
I/ owv
Estimated Value of Improvements, ....... ...f.4-0).a...----.....
...........
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 mannjr so as to violate the workmen's compensation laws of California.
Address 42��
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--------------...Address 6z"�
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I actor,
on ra.
Form 280.1
RECORD OF INSPECTION
Foundation .! - -4U1. - j�Qn-�a----- -- Frame
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