38563 (2) CITY SAN JOSE Lr�dkf_oL44ourt B.WILDING DEPARTMENT
APPLICATION40
",U WING 'PERMIT
19 Permit No. -- ---------- ........
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Application is here.6�0a rnnI --- --- --- ----------------------------------------------------
a-------/-----story, Type7:;v--, ?,e -5-
------ ------------------ Building
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at
to be occupied only as ---
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of improvements, $, `S..------_------------------------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 I shall not employ any per-
son in any mannsir so as violate the workmen's compensation laws of California.
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By��
Contracto
r4gent
Form 280-1
RECORD OF INSPECTION
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Foun2afiorDi ram
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