37463 1119 H611 h(�a,4/�e _7 .5r
CITY OF SAN %SE�,; BUILDING DEPARTMENT
APPLICATION,,F,O
;ezR
RU2_��DING PERMIT
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If P�Tit NJ_Ze��3
,Typo--`arL -----------------
Application i 'by mado-for-a permit to" .�..........------------------------ ------------------------
a-------/—----story, ---- -- -- - ---- ---- -------------------------- ----- Building
at ..... ... ......
to be occupied only as .......
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, ----------
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 to �iolate the workmen's compensation laws of C:a.11ifor us.
0 ----- Address -------- -
—5— -----------------------------
By ......Address ........71---
Form 280.1
RECORD OF INSPECTION
Founda�fio, —.. .... /Frame ------ ----
sfucco
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