30838 7558 trih_
CITY OF SAN JOSE BUILDING DEPARTMENT
/APf PLICATION FBUILDING PERMIT 03
Dafe ....___ - %4I kermit W.......
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Application hereby madp for a per I
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........./------story, Type------- ------ - - --- -----------------------------..................Building
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to be occupied only as--.... ...... G%
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in accordance with Plans, Specifications and Plot plan filed herewith.
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.
, 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 to 6 come subject to the workmen's compensation laws of California.
Owner- 14
By .....
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Contractor, Agent
For. 21-�58 Erin Loma Verde Const .
RECORD OF INSPECTION
Foundation.----- ------------------------------------- A'QVW
Stucco
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