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CITY. OF SAN JOSE /-107- 92—
APPLICATION
Z BUILDING DEPARTMENT
p APPLICATION F R.,!PILDING PERMIT
�J--�--------------------------I lg-&/ Permit No. ------------------------------------
Application is hereby made for a permit to - TUi
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a----------l-----story, Type_ �- ���= ..l�h �/^5J� ..C_� �/p --------�-- Building 7at
to be occupied only as -_ -------------
in accordance with Plans, Specification n Plot�Ian led raw jth.
Estimated Value of improvements, $.... �Yl- l V.1V
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 fhe City of San Jose, will be
complied wifh.
I certify that in the performance of the work for which this permit is issued I shall not employ any per-
son in any ma,"r so as to violate the workman's r?mpensation laws of California.
By..... »1 ------------------ ........... --.Address -----------------------------------
p,,.m pan -i
j0Con1ra0QJ149'. - HiLLs E. De La Cruz
R ORD OF INSPECTION
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