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CITY-OF 'SAN•JOSE _ ... W~ BUILDINGbEPARTMENT
U'R III APPLICATION FOR BUILDING PERMIT
DEC.2......:...195.......?9 Permit No.3232_.
Application is hereby made for a permitto............hu_l�..........................._-------__.-.---
a------_`k;10---story, Type............. -------- i..�---i
---------
a+.....--L�t---::u. r,...�r:.:r...rc..---�-......ct .io. 2'i';�,. ....:r..-y•...:........_... .r _e.
Jnr .. ; c::e_t i ii • , -- .
to be occupied only as.....---'r.....' ----------------.......:._,1--�-----'- - -----o................. ..
in accordance with Plans, Specifications and Plof-plan filed herewith.
Estimated Value of improvements, $----/7. j0--------- --•
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinences and all other
laws applicable to the construction, location, and ase 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 par.
son in any manner so as to become subject to the workmen's compensation laws of California.
Address...........�� 1....1�..............i1J.....Cr...._....
Owner..............__..-. .......:''�t:...' ...... ..-...... .....,
1 1 � +
................Address...... . .............................................a, 2 c>r...a
Contractor, Agent
Form I80.1 s I n
RECORD OF INSPECTION
Foundefion.�j7.-3.z7:i. Frame.....
Stueeo.../._ -- "-6- -��---� �f-�'-�......Finish....�- .`-..�-Q-!G.0 /..P.!:'...."......