34585 (4) 7
WA—W56A JOSE � BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
3 Permit No.-----3--- ------
Date ..........
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/licatiis hereby rijacle for it permit'+;;�_� ------------------------------------------------
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/PP
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at - - -----
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to be occupied ly as ----- ---_------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $
it is hereby agreed that the requirements of the San Jose Buildingand 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 an manners so as violate the workman's compensation laws of California
lirJC
Owe ....
...Address/�, .......--- --------
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By/-- - ------ - ------- - ---------- ..........Address
Form 280-1 ontraefor/ gent
RECORD OF INSPECTION
Foundation ------/0 6
------------------------------------------ Frame ---
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44, 2-
Stucco ---------------
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