32468CITY., OF, SAN, JOSE .,'',.BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date,,/ Z/-^--/ %--------------------- Permit No._3 Z4(p
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Application is hereby de foo a permit to.- Z'�7 --------------------------------------------------------
a-----/---------.story, Type - --- ---
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to be occupied only as-
----- Building
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in accordance with Plans. Specifications and Plot-plan fi--led7herewith.
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Estimated! Value of lmprovemenfs,--7 - ------ ----- ------------ - - - () ) o a
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 com-
plied 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 mane t become-subject to the workmen's compensation pensation Aaws California.
4__ (`�,7,772,7) 7-eUf"T
Address------ --- ----- I �z ----- _°iz -------------------
C;onfractoe;Agent
Form "1131 Stelling .5171,1 S , v R. �' Hunter
RECORD OF II
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