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CITY OF SAN JOSE pl ,41,. � BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date -o //- --- ------------------- 19..?.. ---- Perm' No...
Application is hereby rpcle for a permit to t....-....-'--------------------------------- _------ --- ---
a------- /-- - - -- story, Typ ----V ------ --- Pe—el -- -- -- ----------------------------- ----- ------------- ---------- --- Building
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to be occupied only as - ._ -..__ Q, 70-1 f
in accordance with Plans, Specifications and Pl il; �
Estimated Value of Improvements, $.z=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 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 mann r so as.to violate the workmen's compensation laws of Calif ,a. _
/il 1L �t/ /IAA %ixB \AJJ JJ /. /�/��u���
By
Form 280 -1
RECORD. OF INSPECTION
Foundation - ------- ... . .. - ------4 / Frame
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