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CITY OF SAN JOSE�/,. BUILDING DEPARTMENT
APPLICATION BUILDING PERMIT
Permit No.?-Z�--&3..... ......
Date.//- ---...._---------------------1 19.0'......
Application i if
is hereby m9de for a Perm o -------------------------------------------------- --------------------
a......�,/------story, Type. -------------- --------- Building
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at
to be occupied only as/_... ---------- --- ....
:fille
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in accordance with Plans, Sp cif ca . S nd 046,al
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Estimated Value of Improvements, $.`/--:5------`_p------_----
-----------
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 .Address
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--
workman's for which this permit is issued I shall not employ any per-
so ....
compensation laws of Calijornia.
Contrac
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RECORD OF INSPECTION
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