33108CITM SAN JOSE BUILDING DEPARTMENT
APPLICATION FO B ILDING PERMIT 5�
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Date-------- ........ ----------------- 19.11. ... Pe//mnif No..3s3./_Q,6------------------
Application is hereby made for a permit to-- �P--------------------------------------_--------._.-.
a --------- �--`--- story, Type--�.... Aes---------"----------------------- �....--------------- - __ Building
at -X7.9.9 41�er/�
to be occupied only as --- dh2'..- ��i '� € ,6
in accordance with Plans, Specifications of-pla i e er wt
Estimated Value of Improvements, $----A/) -QUd----_--.....
It is hereby agreed that the requirements of to 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 sq as to violate the workmen's compensation laws of California.
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Owner �/' -- - ------Address -8 `s— �
�/4/L��/1/ Cf/G'? .......Address ` j----- -....
BY --
Form 280-1 / ( �cfL11-3C way
RECORD OF INSPECTION
Foundation Frame --------------
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