32905 (2) t�jgh'1
CIT'ibF SAN'JOSE/
a r s-5—r2 BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date
. .... ............................ I 9<r "_ Permit No. 9_0_5 ..........
Application is hereby rn :e;-e1'_'
....;0..... ----------------------7--------------------------
4e for a permit tct��
a......./------story, pe:;.ix7� -----WO--------------------------------- Building
........ ..) .
to be occupied only as /------ r--------
in accordance with Plans, Specifications and Plot-plan filed herewifh.
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 wifhin 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 en ne,)so_jsto ),lolate the work)men's compensation laws of California.
Ow er
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Form 280.1 Hunter
RECORD OF INSPECTION
Foundation ......
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