37797 a7y 575 OF SAN JoSoq/ V,od
CITY
ejLX ,/V, BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date.-,/'/- --------------------------- 19(.,-� Pei mif o -----------------
Application is hereby de r a Mit ----
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a------`-----------story, Typ -------- -- - -------- - ----- --- -------- ----------------------- Building
at 7,3— 7 1)— — 0-0 42
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to be occupied only a, ----------a----------
in accordance with Plans, Specifications and Plot-plan filed herewith.1,.
Estimated Value of Improvements, $-
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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 manner so as to violate the workmen's compensation/laws of Califf
ra X,
Ownj,y -------- ---------------
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By — — ...........Address .......
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Form 280.1
KtCOitb 60 INSPECTION
Foun a ------ ----------e- !Frame 3----- .. ...........AAJ ----------------
Finish ------ .... ......