33029 1,41
CITY OF SAN JO BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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Date.. - --- ---- ermit No.5.3_4 .15�-----------
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Application is hereby mad for is permit to
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story, yp -------
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-t-plan'file6`herewith.
to be occupied only ----P--------
in accordance with Plans, ppeci
Estimated Value of Improvements, $----- l -------------
I} is hereby agreed that the requirements of -san Jose Building and Zoning Ordinance, 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-
men's compensation laws of California
so" i any manner so as violate }he I o k
Own r -- ----- - - ---- ......�!C.Address/-----o6
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By Aciclress, /-f^ , J. Hunter
Form 280-1 ly5hire c)
RECORD OF INSPECTION Q.
Foundation 'Y7.4).- i;�q.
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