38151 (2) ii3� 5a�1�ha �l1f�iov2 r�z�a�F
CITY OF SAN JOSE�</pL/> /1/ BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date--/ -�----------------- 19 _�� Permit No..3y/.f..l---------------------
Applica#ion is hereby, a for a permit to
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a
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a..----/F-.--.story, ------------------- Building
at
to be occupied only as�.`....�...:�� ��/
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $./..�...J �
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
manner so s to violate the workman's compensation laws/of Cai*,f
C�...Address/ .W J .—--.f.'.--..----A�e . ...-..
t`
BYI���-✓i j- -� ---------------Address --------------------------------------------Contrector Agant
Form 280-1
RECORD OF- INSPECTION
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