32009-CITY OF SAN JOSECITY OF SAN JOSE BUILDING DEPARTMENT,'
rOT.ZL___'APPLICATION FOR BUILDING PERMIT
8 if! to `9 '�T
Date..... P..... .195._.Permit No.
Application is hereby made for a permit to .......... _baaT
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----.y,yp------,�j......................................... Building
Let 110..75 Fair.-roveTt�grt IfoA,ly3g,dYp-Jaen, Calif
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to be occupied only as ------- Gne ::uauy--_ue.nia- --- --- --„--4""ek.7.......----------..................
in accordance with Plans, Specifications and Plot -plan filed herewith.
PL of
Estimated Value of Improvements, $114-16t_"
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 com.
plied 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 become subject to the workmen's compensation laws of California..
California.
--Ii.02001 1 Cuino
Real
Owner....- ^ -
------- re....... ..
AMrn«cpalo Altos California
Contractor,
Form 200-1 A. Le
RECORD OF INSPECTION
4a /, 11
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