43212 CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDIN" PERMIT
Tract NoF�Y'1.14 Lot II &I--------------
C� $ 432-1
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Application is here6 d or a permit t ......
#41 Building
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Use Zone ...kl------------
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in
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in accordance with Plans, Specifications and Plof-plan
Estimated Value of Improvements,
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If 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 Son Jose, will be
complied with.
I certify that in f a performance of the work for which this permit is issued I shat not employ any per
son in any manner s as t violate f a worlkm 's compensation law, of California.
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ByAg
Form 280.1
RECORD OF INSPECTION.
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