32905 1140 Oprbvalvi ' BUILDING DEPARTMENT
CITY OF SAI JOSE/—v
APPLICATION. FOR BUILDING PERMIT .
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Dat .......... Perroit No._--.?
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Application is hereby made for a permit tc
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a--------/------story, T --- --------------- -------- ------------------------- __ Building
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at ......4e,�&Xl
to be occupied only as ---- ------ -- -- --
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of IM' provements, $__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.
1 certify that in the performance of the work for which this permit is issued I shall not employ any per-
son in an -n7n, r so as/j�o violate the workman's compensation laws
141- 7,
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B ..................Addres ------- ---------- ...........................
Form 280- 140 Ift tf V W (/Hunter
RECORD OF INSPECTION
Foundation F,arn. -J—
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*cco -------------------------------------------------'------------- Finish. 11172-