NO PERMIT NUMBER07
KN JOSE BUILDING DEPARTMENT
APPLICATION FOR• , BUILDING PERMIT
Date -----8 °opts..... --...._ ...............195..59 Permit No....
Application is hereby made for a permit to ......... Un..........................................................d
—
a ...... 04.0 -------story,
a+ ----- LOt--- d1G..- 1 r NaArZroge..
to be occupied only as
OFfOe Califo
in accordance with Plans, Specifications and Plot -plan filed herewith. A n
J!/�d PL.%!? NO. -ASR.
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 thispermit is issued I shall not employ any per.
son in any manner so as to become subject to the workman's compensation laws of California.
INC. Addre's's _2001 -.a. C:TJ !no ...^1
.................................
Palo Altoe California
- ---------------------------------------
contractor,
Form 280.1 rte Lo
RECORD OF INSPECTION
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