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CITY OF SAN JOSE �`�
APPLICATION
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Application is hereby ma f/p��
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BUILDING- DEPARTMENT
FOR BUILDING PERMIT
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to be occupied only as ------ 4----
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in accordance with Plans, Specifica#ions and Plof-plan filed herewith.
Estimated Value of Improvements, $x� )--��/J
It is hereby agreed that the requirements of the San Josa"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 epy minnnr so es o viola}e the workmen's compensation laws of Calif
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Ceniractor gni v
Form 280-1 - -
RECORD OF INSPECTION
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