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40113 (2) LIWOF SAN J�SpE�! � BUILDING DEPARTMENT APPLICATION FOR BUILDING PERMIT Tract Noa�©.: �. Lot No. -9........ /,/ Da+e./._ ----....� ......... .. 19 Z Per it No....l..-Q--r--'- 30---...---- Application is here made for a permit t .-..(/ ------------------------------------------------------- a . . . . a------Z----story, Type -- r :...... . I..VC./........................_.....-------.... . Building � Use Zone .11-.�.Y.�. . �. esy /V/ ✓�� Occupancy _..- fo be occupied only as .. ...._. .._ ... ..._ Parking Space .._..7c...-------- in accordance with Plans, Specifications and Plof•plan filed herewith. Estimated Value of Improvements, ;.. :S..-----C---j It is hereby agreed that the requirements of the Sen 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 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 astoviolate the workmen's compensation laws of Califorrn a. Owner :-'./'- c s ./(fj d �Ci1PCAddress14.6� 9.. lcv_ %J I/ Contractor � ��„�.p� Address �N/... ` By Agent C_.............. / Form 280.1 RECORD OF INSPECTION Foundation ---- - a ... ....... ............................................... .... Stucco -------- --- -- - -- --------------- ------------ inish -- ------------------------....... --------------