32468 (2) 1145 StA1]�J9g
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT,f
Date- ---'�...- � .......-. J 3 2-4-6 7
/ ------` -- 19----.---T.. Permit No.....................................--
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Application is hereby made for a permittd_..._..._..:�..........:...............................................
- -- -- .Buildin
ats- . .........._..... ..............
to be occupied only as.. ...... -` --------------------------
in accordance with Plans, Specifications and Plo file d'A IFACvif1Y�/�
Estimated Value of Improvements,
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 Sen Jose, will be com-
plied with.
I certify the+ in the performance of the work for which this permit is issued I shall not employ any per.
son in any nner fb a �t become subject to the workmen's compensation laws of California.
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AddresY.. s "=' �1....:fu' ... ... .19
Owner... .... }
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By..L,l !/I- ..�7•-z Cfl�l` �Gi
L ------------Addrefis..:.: - r ...--------------------..........
Contractor, Agent /
Form 2T145 Stelling /,
J. �_ t/=' (FO R. J. Hunter
RECORD OF INSPECTION
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