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CITY OF SAN JOS BUILDING DEPARTMENT
APPLICATION FOR BUILDING
�— PERM- IT
Dafe/ - -Z-7-----_---------------- Permit No.. 914
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Application is hereby made for 94ermit f 0
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Building
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to be occupied only as..z:-----
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in accordance with Plans, Specifications and Plof-plan filed herewith.
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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 San Jose, will be com-
plied with.
I certify that in the performance of the work for which this permit is issued I shall not employ any per-
son
J so as a become subject to the workmen's compensation laws of California
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By I Co=.ct., Agent
Form 280.1 R. J. Hunter
1161 Stelling 0
RECORD OF INSPECTION
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