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CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract Ne.7 - ............ Lot No.:7�---------
/ � e Permit No. A_U'72 ------ v
ll T 19 L,
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Application is hereby made for a permit 4�0�_
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a.. '---- story, Ty --------------- ... Building
ate ....
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to be occupied only as .....-z.............
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements. $1Z25MW
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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 Son 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-
t late t workmen's compensation laws of Cal;forni
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C.nftada
to
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BYA, - --e ................ Addres
Form 280-1
RECORD OF INSPECTION
Foundation .... Frame
Stucco - -------- ------- ! -------- ..............
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