33029 79 q
CITY OF SAN JOSEP�k'��2,,,V,, BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date----------_------:-------------------------------I 19_ �__o
... Permit No. -----------------
Application is hereby de or a permit tp�
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------/-------stor T ----- Building
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. ....... 10
to be occupied only as /.`... .. ..... 01� "X
in accordance with Plans, Specifications and Plot-plan filed heFewith.
Estimated Value of Improvements, $-----/0� /*_60_0.0............
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 at 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 nner so es/fo violate the workmen's compensation laws f Cal,',,f*r;,,
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1&4ddress/.... --- --- ---------
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Form 280-1 78
RECORD OF INSPECTION
Foundation Frame .....k~&
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Stu ;o -------------------------------------------------- ------------- Finish
Elect 51672 4-21-60
Plbg 36888 4-4-60
Gas 51933 4-4-60