34585 (3) 9T �OWSA JOSE J BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date/---.�-.-5 ------- 19._C%_� Permit No..---7---2`.� -- ......
//plication is hereby a for a per it '......... ......................_..___......._..___....--
a----.`'-"'-------story, Typ �.�... - ... - --- .... - .. .. .............................. Building
52
to be occupied only as . .`... ....................
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $.z..... ... -
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicableto 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 an manna? was violate the workmen's compensation laws of California.
4� C�r� glle f .. ...
��.- Addres > c f l�
ower r. .--- '--�------- -�"------------... -- -../.-=---------------
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anr/ goof - ,
Form 280-1
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