32339 CITY-OF SAW JOSE BUILDING DEPARTMENT
LOT_II)- APPLICATION FOR BUILDING PERMIT
ITEC 2
Date 195----- % Permit No.c33
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Application is hereby made for a permit to------------ %����
a........2ac -story Type------------- ......... = ee---------------------------------------------------------....Building
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to be occupied only as.------ aae.._:.'i.;----------- !_�r���^,n j - .-..
in accordance with Plans, Specifications and Plot-plan fie-d-Kere�ifi.
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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 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 manner so as to become subject to the workmen's compensation laws of California.
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L .,, , Address.-.. - - ...-...
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Contractor, Agent
Form 280.1
RECORD OF INSPECTION
Fou a+ion... p2 -----•. F`rj e•-- "---- --�-
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