38563 (2) - ptirt
SAN JOSE PBUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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Date_ ................. .. --------1 19 Permit No.__6....306
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Application is herebbymade for a permit .................. ----------------------------
a-- ---story, Typ ------ . .. ... ........ A-------------------..__---- Building
at I / Use-Zone -------------------------
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to be occupied only as ......... .................... ........ Parking pace ----------------------
in accordance with Plans, Specifications and n file ith.
Estimated Value of Improvements, $Z//
Plot-pla
e-------------.................
It is hereby agreed that the requirements of the Son 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 to vIoafe the workmen's compensation laws of California.
-Y 4e6d-f�C d- ........ __
......Addre,,A�_-6. ..... ... ...
Cont.r ---- -----
............ .................. ........
........Address
Form 280-1
RECORD OF INSPECTION
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