32066 6.70
CITY OF SAN JOSE BUILDING DEPARTMENT
'APPLICATION FOR BUILDING PERMIT
Date.--- ------------------------ Per it No..'� ------------------------
Applic lion is hereby made for a pe if f
X�mt o.... .. .. ..........................................................
a .,fory, Type----,v—------- -- ---------------------..................--------...Buil ding
----------- c,Y � , —
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to be occupied only as........ - ----------------- .............
in accordance with Plans, Specifications and Plof-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.
I certify that in the performance of the work for which this permit is issued I shall not employ any per-
son
erson in an ,,er so as to become subject to the workmen's compensation laws of California.
----------Address........
Owner....
...............
BY...........?V0.14 ...... -4 ......Address......... ...I------------------------
Contractor, Agent
For. 280.1
RECORD OF INSPECTION
Foundafion./
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