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CITY OF SAN JOSE ,4; BUILDING:D EPARTMENT
APPLICAI-1/16� M--
--- � BUILDING PERMIT
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Date-/ /:/ --------------- ...... 19�6! rnnit No. - - --------------------------
Application is hereby e fora maj
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to be occupied only a - ------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $
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 . any mann so as to violate the workmen's compensation laws of Califor
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or, Agent
Form 2MI
RECORD OF, INSPECTION
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