34682 (2) IT
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CITY OF SAN JOSE P",� BUILDING DEPARTMENT
APPLICATION FOLDING PERMIT
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Date- -� o v=-----?----------------------- 19_60-.. Permit No. q'7 �g 21-----
Application is hereby made for a, permit to ------
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a-----/--------s#ory, Type------J-- -- --- Z,CJ_i.D-----N-�r----------------- Building
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to be occupied only as
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to accordance with Plans, Specifications and, Plof-plan filed herewith
Estimated Value of Improvements, $__
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It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of San Jose, will be
complied with.
I certify that in the performance of the work for which this permit is issued I shall not employ any per-
son in any manner so as to violate the workman's compensation laws of Califorrn�ia.
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OwnerJ Address ------------------------------------------ ...y -..
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Contractor,i ant
Form 280-I '
RECORD OF INSPECTION
Foundation Frame
Stucco ------------------------ 3
-------------------------- Finish --------- ----------------------- ----------------- -----------