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31276 CITY OF SAN JOSE v BUILDING DEPARTMENT APPLICATION FOR BUILDING- PERMIT Sle-ey­ Date........ ---� - 19 ...... P mi, N ...._ ------------- - Application is hereby made for Perm to ------- ------- --------------------- a---......../----story, Type---.. ............... ...... ....... ............-........--Building at.----......-------------------- ................................. to be occupied only as--_ -_ ---- .... ...... ----------- ............................... in accordance with Plans, Specifications/an Ian f* Estimated Value of Improvements, $..... .. It is hereby agreed that therequirements of t;./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 this permit is issued I shall not employ any per- son i to b come subject to the workmen's compensation laws of California. in a so as 0 . Ow,a dross_///A;P046e"_,�" By.. Address-------------------- A- 40 ------------------------------- ------- Form 2��0 Grimm 7-2 a-z;P Loma Verde ' RECORD OF INSPECT' ION Foundation-------- . .---.....Pram .....�21 Stucco.--.......--------...............................................Finish....