43212 CITY OF SAN JOS BUILDING DEPARTMENT
APPLICATIOTract Nols�,�_ .
N/, FOR BUILDING PERMIT
:_ Lot No.
.
Date. 19
........ Permit No.:45V?l
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Application is hereby m de for a permit ------------------------ ...... ........
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a--- stol ........ Building
at Use Zone ---I...--.._.-.
pancy ----- ----------
7
to be occupied only as 1---7 Space .....
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4 ert e4g, -----------------
in accordance with Plans, Specifications and Plot-plan file
//S7 !!_!��drewifh.
Estimated Value of Improvements, $1- -0---f
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It is hereby agreed that the requirements of the Son 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 of employ any per-
son lolofe the workmen's compensation laws o California.
son in any manner so as 9 v C I
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Contra,
BYAg6 --- -- ------Address -_ -- - - ...... ------- ------7... . .
Form 2801
RECORD OF INSPECTION
Foundation F,ame S.—
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