32066 646. ' filiy /-"/5r A,-& L,,x0,W_
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
I it No............
Date----------- ......195-- ---- er--------------
Application is hereby ma 4o for a vrt to---1 1��_ _71 ----------------------------------a------------ ...story, Type.:::F—�_ . ....... -----------------------....-------------------------------Building.
at------------------------------------ ..... 7------------------- �T"t.,
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to be occupied only as------------ �_ �-----------------------,
2-- ------
in accordance with Plans, Specifications and Plot-plan filed herewith.
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.
certify that in the performance of the work for which this permit is issued I shall not employ any per-
son in any nne so as to b co b'oct to the workmen's compensation laws of California.
I L
Owner ..................Address... 115�.�
By----------- . ...............Address.-----......
Contractor, Agent
Form 260-1
RECORD OF INSPECT
Foundation..__..I 9
• F e.
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