324681151steli'
CITY OF SAN JOSEas BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT n
Date// —L. -Z-2 ....................... 19..-5.._.` Permit No
-%Application is hereby made for a permit to
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-----------------------------Building
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to be occupied only as.../ --� '-------.-------- --
in accordance with Plans, Specifications and Plot -plat d herAWltKf/
Estimated Value of Improvements, [} �0 010
If is hereby agreed that the requirements of the SenAose 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 shell not employ any per.
son in anl—tranner so ee to become subject to the workmen's compensation 19wi �of/California.
CJ
i
,' y - Contm05fXAgent
Form 280.1 3�»J. Hunter
1151 Stelling b�
RECORD OF INSPECTION
Foundafion .....
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