58046 CITY OF SAN JOS BUILDING DEPARTMENT
APPLICATION FOI� BUILDING PERMIT
Date
79Y
.. .......... —,7,
--------- -------------- 19------------ Permit
Application is hereby de for a permit ---------------------------------------------------
/-------story, Typ ----- .. . ...........I- - P_
:t------------ ---- ---- -- ----------------- .... Building
to be occupied only as .... ........... -_ I I
in accordance with Plans, Specific tin n d' P lApl —Wie�Jo h�er e%Z,
-5..;5�0 ��'
Estimated Value of Improvements, $------------------------------------
It is hereby agreed AM 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 any manner so s
tviolatethe workman's compensation laws of Came 'a.
0 -----Address--------- -----------e------------/--------------
By ---..Address/
. -9- ---------------------------------------------------
RECORD OF INS CTION
Frame L.
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