37039 (2) 7752 C6i' W4_ Circles
CITY OF SAN JOSEZ, BUILDING DEPAR'T'MENT
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APPLICATION 4ZILdiDAIING PERMIT
.Dafe.&1. -ZE..................... 19. ./ I Permit No._3;�3..�
Application is hereby a r a permit to Z��f:---------------------------------------------
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to be occupied only as /-
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in accordance with Plans, Specifications and Plot-plan filed herewith.
,506,
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
complied 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 mann sojas to violate the workman's compensation laws Califor I
Own Aciclres,,�! ,off, — -------
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.......Address -- ------- ... . ...................
By ............
Contractor, A6;zrt
form 280-1
RECORD OF INSPECTION /
Founds+ion a-o/-... C/Frame - _
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