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79394 CITY`0r5AW_jt115r BUILDING DEPARTMENT LOT-11--APPLICATION FOR BUILDING PERMIT a Septa Date --------... ----------- ....................195.....5 Permit No< ..-.....::::::::• Application is hereby made for a permit 40------------.build.............................._-------.---------------...._ a.------One---story, Type------.....v---Ro GidenCe --- ..................-----------------------------....Building Lot Noe 1 Fairg Lan Jose* Calif* at.................................................... --"� ------- -- - .. ..- "' --" /- .v./ /---- ---.....-"'-------------...._--------- one Y ily dwelling & garage to be occupied only as-----...'- - ------------------------------------------- -'--------- 11-----/---------------.......---....-- in accordance with Plans, Specifications and Plof•p h rt .;00 4/ PLAN N0. Estimated Value of Improvements, ------ k 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 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 become subject to the workmen's compensation laws of Calif rnia. i{©� r• EICNLsf IiOFI :S9 ®NCo Address...........2001 Ll n0 - -- - --- - Owner-------' ------ By " -µ polo Alt-o-9 CaliYoraia �..._... - 'r .....Address........ - ---------------------------------...---.....---- By----- ----------- -- Contractor Agan1 Form 2e0.1 Ae t.. v+ ,.P' RECORD OF INSPECTION Foundation---/.. F -------------------- -- Stucco----..................................................... ...........F'" A----- --- --------------------------- -46 (3(4 4 f7 C6