38046CIYY OP SAN JOSEI'644r4 y: �a�c�e� BUILDING DEPARTMENT
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APPLICATION FOS-, yA 9, DING PERMIT
Date-! ...L...�� - ..... - - - Per�No. --------------------
. 6 T
Ap/plication is hereby mad for a permit t ---- �-------....---------------------------..
a ---------`--------story. Type - -�- - - -------------"---...-------- Building
to be occupied only as/ 1 --. ---- ----
in accordance with Plans, Specifications and Plot -plan [ad hefewith.
Estimated Value of improvements,.......
If 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 fhe 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 por-
son in any mannaL.oa/sto violaffl the workmen's compensation laws o{ CalifOr P 0 G Y -- --' .Address/. - .----------` ... ..............
�� ---- Address-'� ........ ---------------------
By
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RECORD OF INSPECTION
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