32066 8�b f,i1Y Li.i� �`1'i�''e �//
CITY OF SAN JOSE � BUILDI�dRT��
APPLICATION FOR BUILDIPIG PERAAIT
Date----- �v --� -- - � ---.-:.--195...C,....� Pe mi No.....��O �j.b
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Applica ion is hereby made for a ermit to..-----�------------- -------_......_...--_---...----.
a.------'- -- atory, Type...�..�... ....�WY�...--'--'.T/ ----'------...._--------------------Bwlding
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` to be occupied only es....----./..,���Ki -�`� '��- Li�Y..�.V�..--......
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' in accordance wifh Plans, Specifica#ions and Plof•plan filed herewifh.
Ez+imafed Value of Improvemenfs, $..��.��.�.
I+ is heroby agreed thet The raquiramen+s of }he $en Jose Building and Zoning Ordinencas and ell o}her
I laws epplicabla to fhe cons}rucfion, locafion, and usa�of buildings wi}hin 1he Cify of Sen Jose, will be <om-
plied with. �
I certify ihet in tha parformence o{ the work for which fhis permil is issued I shall not amploy eny per-
'' ., son in any nner so�a: to'bje oma sub' ct fo ihe workmen's compe setion lews of Califor ia. �
, Owaer- �y�� Ll4-P�'C�Q-� ...... .Address. ����� C_____. ._�.,�,�
(�i(/�i�(Cls�(if/A��.� Address --...- �`H'_`__'- -- ..._- -� --�il
BY- ...- --. ....
Coniracfor. Agent .
Form 280�1
� RECORD OE IidSPECTlO
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