38046CITY E }a 0_rr� lace
CITY OF SAN JOSE 7 «/
BUILDING DEPARTMENT
APPLICATION 0R B IPTG PERMIT
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/- ------------- 19----------- _�/PPeermit No....1_A. .7�...----.....
.anon is hereby me'de_r a permit to m.`��............._......-..............._.....-.
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to be occupied only as/ -
in accordance with Plans, Spec
Estimated Value of Improvements,
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Building Building
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 an� ner so es o violate the workmen's compensation laws of California.
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Ow /� Grp-',�eA_"�- 17--.-! Address��....P-....J.�.:._/.�.'�w 7
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Agent /
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RECORD OF INSPECTION
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