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30656 (2) 76 4 Eriri CITY OF SAN JOSE BUILDING. DEPARTMENT APPLICATION FO ��I ° 7 LDING PERMIT soy Date-------------- ---------------------------- 19- --- --- Permi No....d49A_!.r----------------- Application is hereby made for a permit to.....tl�1 .... a---`------f--....story, Type-- -_....`"^!�..............................................Building at- -- � .. .. ......... --- .. .... to be occupied only as- = ... . . ....... . - :----�*mss'...... in accordance with Plans, Specificatio d�Plot-plan 1 er —it� Estimated Value of Improvements, $..h-------------------- 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 I certify that in the performance of the work for which this permit is issued I shall not employ any per. son in any nner so as t/o b/ecom� subject to a workman's comppenssaat�oJn. laws of California. Owner.. ..AddresS.l�/�/11:9�� It N i .....Address --- ----- --------------------------------------- By ConlrectoL Agan} Form 280-1 7624 Erin Loma Verde RECORD OF INSPECTION Foundation - ��- ..............-------- ---Frame................................... - - - - - Stucco -- - ------------------------------------Finish.. ........................................ -- E 32 gs�