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32986 (2) CIWOF SAN61�Si4�"" BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT ) 36 Date-------- A.-.6--'---.., 19.--- 1:trmif No. (P--------- Application is hereby made for a permit to ........ ------------------------- - ------ bry, Type ------- Building to be occupied only as -44��------` in accordance with Plans- '�'P'11_iii�15a.nclft _he&th. _ P,,161 Estimated Value of Improvemen fs, ;$....../16Y.4 0 0........... 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 not employ any per- son in :;.. ya;n r,so as to violate the workmen's co mpensefion laws of California. -----------­-------- Owner ...... -- -------------------.......!��cldressl/ ---/ 2By ..............Address ----------------------------------- Contractor.Aq 28 `i� Form 0-1 RECORD OF INSPECTION (� Founda#ion �..�.�.�� ✓ _��-- Frame .J_=0:7. ..v--- ✓�... Z�Cst a_-. Sineew---------------------------------------------------------------- Finish +tc-----------