37583 (2) 704 Hibllandert,;/� 7 -Z/
CITY OF SAN JOSE10;r BUILDING DEPARTMENT
APPLICATIeNgj.0��_ BUILDING PERMIT
Date- --------------------------------- Permit No.3.z>7�e3....
Application is hereby rn d for' a permit +o / - :__.i......-�,_W,
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a---------- ......t,ry, ------------- Building
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to be occupied only as
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in accordance with Plans, Speciii and
Estimated Value of Improvements, $.. _-Z------------------------
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinancesiand 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 manner so as to violate the workmen's compensation laws of Califor
.....Address
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Own
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Agent
�C�ontr�__ .r, ) U
x` RECORD OF INSPECTION Q
Foundation • - .� .i/..: Frame .. .... -----------------/- -:/. C�./
S4uccoL/Finish
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