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CITY OF SAN JOSE ID BUILDING DEPARTMENT
APPLICATI ON FOR BUILDING PERMIT
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Date--------'-- .. i 195 1�_ ----- Permit No..��.....6......to
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Application i hereby made for-ppermiit f o....-Z?A�-------------------------------------------------
a---'-------/ bfory, Type.--- --—-—------------------------------ -------------------------Building
at......................._--_--------------- ----_-------------- ----- -
to be occupied only as..---- -------- -- -- r OR
--- --- ----- ----- ... .. ........
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $..-y
It is hereby agreed that the requirements of the San Jose Building and Zoning Crain I ancos and all other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be com-
plied with.
I certify that in the performance of the work for which this permit is issued I shall not employ any per-
son in any7nnerso as to become subject to the workmen's compensation laws of California.
Owner-..% y
wner-
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--------------- .........
By. -----Address-.......... .... -.1 ............
----------------7a4l
Contractor, Agent
Farm 280A
RECORD OF INSPECTIOM
Foundafion.....
... ... j/am a....
....Ao�-------------------------
---------------------------------------------------------------Finish.. :!-2
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