37309 (2) 1144 St
CITY OF SAN JOS BUILDING DEPARTMENT
APP ATIOICFOR,
.7 ,$UILDING PERMIT
Dafw�1W,-?----------------------- 196Z Permit No.--3-Z..3-Li---------------
Application is hereby made J a a mif --------------------------------------------
gr
a--------/...story, Type- '4
7F ------------------------ Building
at AP..�
.,7��Z.Z-IA14-----ZX.C'L-!......
to be occupied only as/-/,.* -.7 .............
in accordance with Plans, Specifications and Plot-planfiled herewith.
Z
Estimated Value of Improvements, ------------------------------
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
WeNTI
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 a �a r/� a to viol ie the &ormen.; compensation laws of Ca'li/lor .
7
Addresv ........
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---- ------if..--'-........Address ----------------------------------------------------------------
Contr �, Agent
�o,rn 280.1
RECORD OF INSPECTION
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