32986 (2) C F SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date_ —:-3::5 ....... 19_ v Permit No. --------
Application is hereby made for a permit to or , T p --2.x....._'9........_...-'----
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..........47..........0'4/Z�---------------- Building
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to be occupied onLy as ... ... - ---------- ------ rq All
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in accordance wit pe ' ications andTIOT-PIan filed herewith.
Estimated Value I rov f -----
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 marmaj so as to violate the workmen's compensation laws of California.
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Owner -----------
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By ---- -------
Address
Contractor,/A6
Form 280-1
RECORD OF INSPECTION
Foundation /-----Y.'..�-�- tf/Y l •¢ Frame J':
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