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38157 (2) 7594 t66kk-6Yd `dt f F12 CITY OF SAN JOSE „r� L BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT Date/0- --------------- 19..._ Pelvo.-� 7f �- Application is hereby made for a permit + ...------------------------------------------------- a......./-------story, TYP ---"------- ----------------- --------------------------------------- Building at �3 to be occupied only as Z in accordance with Plans, Specificati o - a f e ith. Estimated Value of Improvements, $.../L�.................../... 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 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 1 shall not employ any per- son in qny manner o as to violate the workmen's compensation laws of California 7 e / kK c,j �( Y/........... < C ....Addres� V B c -" Address -- .. c.. ..._...... - — v Contractor,— Agent Form 280-1 _ - RECORD OF INSPECTION ----- - r, q ---------------------------------------------------------- VFo,n?datl,i 4�T---- ----- '�- ------- cc. ................ ----------------------------- ---37 is --- ---------- ------ F�iin i