37309 1168
CITY OF SAN JOSEZ4/I/ BUILDING' DEPARTMENT
APPLICATION FOR qBILDING PERMIT
Date_C� 3........ Y ? .
.............. 19�z_ Permit No. ---9.................
Application is. her"bde fg; a permit to ---------------------------------------------
a-------/`0 -----story, Type-----kl-----
: ------------------------------- Building
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at ---JL0 g_ ......90A_4l...------ 1y5 4sxl_/c?�
to be occupied only as ./....-_7
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $-- --------
----7-----------------
It is hereby agreed that fhe=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 am oy any per-
son in any mann7 so as tq_,�aolato the workman's compensation laws of California
CJ
Z&�". _.Aciclres/ -----------------
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rl� Contractor. Age
2RECORD OF INSPECTION
Frame ---------
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