32301 (2) 7523 E'a 11 en–le A-1—
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CITY OF SAN JOSE ko7 %io BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date...pec:.......Lq..... Permit No.l..Z.10...I----------
Application is herebymade for a permit to----Q11I.I.J.k---A...........................................
:' ....)-----sto . Type.. ................ ....... ......... ...... ......Building
t ..................!X'S... ......... ---------- ................................:........
to be occupied only as...... ..........I. ... ......... .... .. .1---------............I---------
in accordance with Plans, Specification a P11 n a herrFK
Esf;mated Value of Improvements, Of ..Q-_0 --------
It is hereby agreed that the requirements of 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 com-
plied with.
certify that in the performance of'the work for which this permit is issued I shall not employ any per-
son i any
manner so;as,.to become subject of California.
P the compensation laws
Owne ....17
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By---- ............ _............i...............Add ..................................................................
Form�L75?3 Fallenleaf Contractor, Agent Newman & Vierra Const.
RECORD OF INSPECTIIPN
F2ou'nd'aflo,n-..--'-' 2-.-------Z Z_ �S 9 Fr e..---_17.. ---(7?'�/ -----------------------
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