38046 CITY OF SAN JOS BUILDING DEPARTMENT
APPLICATION FOR B ILRING PERMIT
Date- -----------------.. ...... Permit No---------- ------------------------------
Application is here6 cle for a ermif t 4A�-------------------------------------------------
I----------- story, Typ ..... .............---- ------ -- --------- ------------------------------ Building
at 4-4..Z
to be occupied only as/----
in accordance with Plans, Specifinifill Wf-pn:'�UilehS wi
0 -
Estimated Value of Improvements-- ------------- ----- ------------------
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
jaws 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 s compensation laws of Califo
,7
, n ------- ........
----Addres --- .........................
0
111
B ....Address :N------------------------------------------
F.rm 280.1
RECORD OF INSPECTION
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