37463 1101 H61LVh6i�/e
CITY OF SAN JOSE P
/ BUILDING,DEPARTMENT
APPLICATION,T
_& BUILDING PERMIT
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Date- 4 mi .
f No,?I.J�413 --------------
�5�-- --------------- 19
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Application is hereby fora for permit to__� --------------------------------------
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°--- --------'--story, Ty,
----------------------. .............. Building
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1 ,
to be occupied only a" ------------ ---
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in accordance with Plans, Specifications and Plot-plan filed rewith.
Estimated Value of Improvements, $.z=_0
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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/mann . I
as to violate the workmen's compensation laws 0 Califor a.
Owa
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By, -- ------- . .. ....... .'Cl---------------Adorer . .......--------------------------------------
Contrac , Agent
?QA_1
RECORD OF INSPECTION
Fo:u2ncr,6ti;n Frarne ----- 2.1
St, Finish ...
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